Multimodality imaging in subclavian steal syndrome
Elad Shemesh1,2, Basheer Karkabi1,2, Keren Zissman1,2
1Department of Cardiovascular Medicine, Carmel Medical Center, Haifa, Israel.
Oxford Medical Case Reports
|July 26, 2021
Summary
Subclavian steal syndrome, a rare vascular condition, can cause recurrent syncope. This case highlights how combining patient history, physical exam, and imaging confirms the diagnosis.
Area of Science:
- Vascular Surgery
- Cardiology
- Neurology
Background:
- Subclavian steal syndrome (SSS) is an uncommon cause of recurrent effort-related syncope, impacting approximately 2% of the population.
- It involves the narrowing or blockage of the subclavian artery, leading to reduced blood flow to the arm.
Observation:
- A 64-year-old male presented with recurrent syncope episodes triggered by physical exertion.
- Physical examination revealed specific clinical signs suggestive of SSS, prompting further investigation.
Findings:
- Multimodality imaging was crucial in establishing the diagnosis of SSS.
- The study demonstrates the diagnostic utility of integrating clinical assessment with advanced imaging techniques.
Implications:
- This case underscores the importance of considering SSS in patients with unexplained recurrent syncope.
- A comprehensive approach combining patient history, physical examination, and imaging is effective for diagnosing rare vascular conditions like SSS.
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