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[A thoracic "stealing" vascular syndrome (author's transl)]
Le Poumon Et Le Coeur
|January 1, 1980
Summary
A rare thoracic vascular steal syndrome, potentially from prior pleural issues, caused fainting spells due to blood diversion. Embolization successfully treated this condition, resolving symptoms.
Area of Science:
- Cardiovascular Medicine
- Thoracic Surgery
- Vascular Surgery
Background:
- Thoracic vascular steal syndromes are uncommon, often presenting with exertional symptoms.
- Previous pleural disease can predispose individuals to unusual vascular anomalies.
Observation:
- A patient presented with exertional syncope attributed to significant hemodiversion.
- This hemodiversion originated from sub-pleural vascular networks supplied by the internal mammary and broncho-intercostal arteries.
Findings:
- Selective bronchial arteriography identified the specific vascular pedicles responsible for the abnormal blood flow.
- Embolization of these pedicles effectively obliterated the abnormal vascular connections.
- Complete resolution of clinical symptoms was achieved post-embolization.
Implications:
- This case highlights a novel thoracic vascular steal syndrome secondary to pleural involvement.
- Endovascular embolization is a viable therapeutic option for this condition.
- Understanding these rare vascular steal phenomena is crucial for accurate diagnosis and effective management.