Extra-anatomic Left Carotico-Subclavian Artery Bypass Technique in a patient with Subclavian Steal Syndrome: Case report

• Published in: Kardiyovasküler tıp e dergisi Vol. 5; no. 3; pp. 54 - 57
• Main Authors: Demirdaş, Ertan, Atılgan, Kıvanç, Er, Zafer Cengiz
• Format: Journal Article
• Language: English
• Published: Ismir Galenos Publishing House 15.09.2017
• Subjects: Atherosclerosis; Carotid arteries; Case reports; Congenital diseases; Morbidity; Mortality; Patients; Surgery; Ultrasonic imaging; Veins & arteries
• ISSN: 2147-1924; 2147-1924
• DOI: 10.15511/ejcm.17.00354

Subclavian steal syndrome (SSS) is characterized by total occlusion of proximal part of subclavian artery resulting with retrograde flow of vertebral artery. The main risk factors in etiology are hypercholesterolemia and athero-sclerosis. Congenital left subclavian artery stenosis and patent ductus arteriosus accompanying aortic coarctation, posttraumatic injuries, thromboembolism and arteritis are some of the rare factors causing SSS. SSS is usually an asymptomatic disease. However, the major symptoms are dizziness, claudication intermittent of upper extremity, headache and paresthesia in distal part of upper extremities. We are presenting a 57-year-old man presenting with a claudication intermittent on the left arm, paresthaesia in fingers, dizziness and headache for a three year time. After applying a computerized tomographic angiography, we observed that the left subclavian artery was totally occluded at the origin point. There are several surgical approaches for the treatment of this syndrome. In this case, we preferred the carotico-subclavian bypass technique with supraclavicular approach due to its low rates of mortality and morbidity, and high rates of long term durability.