Subclavian Steal Syndrome: a Case Report

Year 2014, , 160 - 163, 01.09.2014

Hasan Ergenç Yasemin Gündüz Mehmet Bülent Vatan Ali Tamer

https://doi.org/10.5505/sakaryamj.2014.82621

Abstract

Summary

Keywords

Subclavian Steal Syndrome

Subklaviyan Çalma Sendromu: Bir Olgu Sunumu

Abstract

Subklavian çalma sendromu (SÇS) proksimal subklavian arterdeki ciddi darlık veya tıkanmaya bağlı olarak aynı taraf vertebral arterdeki kan akımının tersine dönmesi ile karakterizedir. Hastaların çoğunluğu asemptomatik olup, tanı sıklıkla rutin fizik muayenede brakiyal ve radial nabızlarda zayıflık veya her iki kol arasında kan basıncı farkı görülmesi sonrası rastlantısal olarak konulmaktadır. Semptomatik hastalar ise genellikle vertebrobaziler yetersizliğe bağlı gelişen paroksismal vertigo, presenkop, işitme kaybı ile prezente olmaktadırlar. Üst ekstremite kladikasyonu, sol internal mammarian arterin kullanıldığı koroner arter by-pass (LİMA-CABG) yapılan hastalardaki göğüs ağrısı diğer belirtilerdir. Biz bu raporda sol kolda ağrı uyuşukluk, çift görme ve konuşmada güçlük semptomları olan hastada yapılan araştırma sonrası SÇS tanısı koyduğumuz ve sol subklavian artere stent yerleştirilmesi sonrası semptomları tamamen düzelen 65 yaşında bayan olguyu sunduk.

Keywords

Subklavyen Steal Sendrom

References

• Contorni L: Il Circolo collaterals vertebro-vertebral nella obliterazione dell’arteria subclavian all sua origine. Minerva Chira, 1960; 15: 268–71
• Fisher CM: New vascular syndrome, “subclavian steal.” N Engl J Med, 1961; 265: 912–3
• Labropoulos N, Nandivada P, Bekelis K: Prevalence and Impact of the Subclavian Steal Syndrome. Ann Surg, 2010; 252: 166
• Heidrich H, Bayer O: Symptomatology of the subclavian steal syndrome. Angiology, 1969; 20: 406–13
• Aithal J, Ulrich M: Subclavian Steal Syndrome. N Engl J Med, 2012; 10: 363
• Cuisset T, Sarma J, Hamilos M et al: Coronary-subclavian steal syndrome: an usual cause of refractory unstable angina. Int J Cardiol, 2008; 127: 181–2
• Fields WS, Lemak NA: Joint study of extracranial arterial occlusion. VII. Subclavian steals – a review of 168 cases. JAMA, 1972; 222: 1139–43
• Gosselin C, Walker PM: Subclavian steal syndrome: existence, clinical features, diagnosis and management. Semin Vasc Surg, 1996; 9: 93–7
• Conrad M, Toole J, Janeway R: Heamodynamics of the Upper Extremities in Subclavian Steal Syndrome. Circulation, 1965: 346–51
• Grossman BL, Brisman R, Wood EH: Ultrasound and the subclavian steal syndrome. Radiology, 1970; 94: 1–6
• Klingelhöfer J, Conrad B, Benecke R, Frank B: Transcranial Doppler ultrasonography of carotid-basilar collateral circulation in subclavian steal. Stroke, 1988; 19: 103
• Chai P, Dubowitz M, Mohiaddin R. Images in cardiovascular medicine. Coronary-subclavian steal syndrome demonstrated by cardiovascular magnetic resonance. Circulation. 2006;113:930–1.
• Kroll CR, Agarwal M, Stouffer GA. Angiographic evidence of coronary- subclavian steal syndrome. Circulation. 2002;105:184
• Feringa HH, van Waning VH, Bax JJ, et al. Cardioprotective medication is associated with improved survival in patients with peripheral arterial disease. J Am Coll Cardiol. 2006;47:1182
• Malek A, Higashida R, Phatouros C, et al. Treatment of Posterior Circulation Ischemia with Extracranial Percutaneous Ballon Angioplasty and Stent Placement. Stroke. 1999;30:2073
• Salam TA, Lumsden AB, Smith RB., III Subclavian artery revascularization: a decade of experience with extrathoracic bypass procedures. J Surg Res. 1994;56:387.
• De Vries JP, Jager LC, Van den Berg JC, et al. Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: long-term results. J Vasc Surg. 2005;41:19.
• Wang KQ, Wang ZG, Yang BZ et al: Long-term results of endovascular therapy for proximal subclavian arterial obstructive lesions. Chin Med J (Engl), 2010; 123(1): 45–50
• Qi L, Gu Y, Zhang J, Yu H, et al. Surgical treatment of subclavian occlusion. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010;24(9):1030–2.
• Linni K, Ugurluoglu A, Mader N, et al. Endovascular management versus surgery for proximal subclavian artery lesions. Ann Vasc Surg.