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[Subclavian steal syndrome in childhood (author's transl)]
Insights
Congenital subclavian steal syndrome in children can occur with aortic arch defects. Early diagnosis is crucial for managing vertebral basilar insufficiency symptoms.
Area of Science:
- Pediatric Cardiology
- Vascular Surgery
- Congenital Heart Disease
Context:
- Subclavian steal syndrome is a rare condition.
- It is often associated with congenital heart defects.
- This study focuses on four pediatric cases.
Purpose:
- To report on four children with subclavian steal syndrome.
- To discuss the association with coarctation or interrupted aortic arch.
- To highlight diagnostic clues and principles.
Summary:
- Four children presented with subclavian steal syndrome linked to aortic arch anomalies.
- Stenosis and hypoplasia of the left subclavian artery were observed.
- Two children experienced symptoms of vertebral basilar insufficiency.
Impact:
- Highlights the importance of recognizing subclavian steal in pediatric patients with aortic arch defects.
- Emphasizes clinical findings for provisional diagnosis.
- Contributes to understanding congenital subclavian steal principles.
Abstract:
The authors report on four children with subclavian steal associated with coarctation or interrupted aortic arch. All children showed a stenotic origin of the left subclavian; in addition three of them had an extreme hypoplasia of the proximal segment of this artery. Two children had typical symptoms of insufficiency of the vertebral and basilar circulation (headache, dizziness, syncopal attacks, vision and hearing disorders) since the age of 7 and 8 years, respectively. The clinical findings, such as reduced pulses and blood pressure of the respective arm, may suggest the provisional diagnosis. The principles of congenital subclavian steal are discussed.