빗장밑동맥도루증후군

• Published in: Annals of surgical treatment and research Vol. 76; no. 3; pp. 203 - 206
• Main Authors: 정민성(Min Seong Jung), 홍성일(Sung Il Hong), 김해성(Hae Sung Kim), 이정훈(Jeong Hoon Lee), 김한준(Han Joon Kim), 류병윤(Byoung Yoon Ryu), 김홍기(Hong Ki Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.03.2009
• Subjects: 일반외과학; Subclavian steal syndrome; 빗장밑동맥도루증후군; Carotid-subclavian bypass; 목동맥-빗장밑동맥우회술
• ISSN: 2288-6575; 2288-6796

The definition of subclavian steal is the reversal of vertebral blood flow resulting from the stenosis or occlusion of one of the subclavian arteries or the innominate artery. It is a rare disease resulting in a variety of ischemic neurologic symptoms such as vertigo, dizziness, diplopia, dysarthria, ataxia and nystagmus. Some patients show ischemic symptoms and digital necrosis of the involved arm. Among treatment options, Subclavian to carotid transposition is the most preferred method. We report a patient with subclavian steal syndrome who had 5th finger necrosis of the left hand without neurologic symptoms. It was successfully treated with a carotid-subclavian bypass with a 6 mm ePTFE graft. The definition of subclavian steal is the reversal of vertebral blood flow resulting from the stenosis or occlusion of one of the subclavian arteries or the innominate artery. It is a rare disease resulting in a variety of ischemic neurologic symptoms such as vertigo, dizziness, diplopia, dysarthria, ataxia and nystagmus. Some patients show ischemic symptoms and digital necrosis of the involved arm. Among treatment options, Subclavian to carotid transposition is the most preferred method. We report a patient with subclavian steal syndrome who had 5th finger necrosis of the left hand without neurologic symptoms. It was successfully treated with a carotid-subclavian bypass with a 6 mm ePTFE graft. KCI Citation Count: 3