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Bilateral subclavian steal syndrome
K C Redmond1, M C Barry, E Kavanagh
1Department of Vascular Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
Irish Journal of Medical Science
|May 8, 2002
Summary
Bypass grafting effectively treated symptomatic bilateral subclavian artery occlusion. This surgical approach offers a more durable solution compared to angioplasty for this rare condition.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
Background:
- Bilateral atherosclerotic subclavian artery occlusion is an uncommon condition.
- Symptomatic presentation can include upper limb ischemia and neurological deficits.
Observation:
- A male patient presented with exercise-induced vertigo and upper limb symptoms attributed to bilateral subclavian artery occlusion.
- Surgical intervention was deemed necessary to restore adequate blood flow.
Findings:
- A bilateral aorto-subclavian bypass procedure was successfully performed via midline sternotomy.
- Postoperative assessment revealed significant symptomatic improvement.
- Enhanced brachial systolic arterial blood pressure readings correlated with clinical recovery.
Implications:
- Bypass grafting represents a durable surgical option for managing bilateral subclavian artery occlusion.
- Percutaneous interventions like angioplasty with stenting may have a higher risk of restenosis.
- This case highlights the efficacy of surgical revascularization in alleviating debilitating symptoms.