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Published on: September 13, 2020
Bilateral subclavian steal syndrome
Reza Amini1, Heather L Gornik1, Leslie Gilbert1
1Section of Vascular Medicine, Heart & Vascular Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH 44195, USA.
Abstract:
Bilateral subclavian steal syndrome is a rare condition. It is usually due to reversal of vertebral blood flow in the setting of bilateral proximal subclavian or left subclavian plus innominate artery severe stenosis or occlusion. This finding may cause cerebral ischemia related to upper extremities exercise. We report a case of bilateral subclavian steal secondary to total occlusion of the innominate and left subclavian arteries in a patient who presented with cardiomyopathy and flow reversal in the right carotid and bilateral vertebral arteries.
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