Subclavian Steal Syndrome: a Case Report

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

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