Operative treatment and results of the subclavian steal syndrome

Abstract

Between January 21, 1985 and June 30, 1991 at Ankara University Ibn-i Sina Hospital Cardiovasculer Surgery Department, eleven patients who had subelavian steal syndrom underwent operative treatment, Arteriosclerotic lesions were located at left proximal subclavian artery in nine and at right in two. Syncope was the most encountered symptom. The type and timing of the surgery was confirmed by arcus aortagraphy. The last 8 patients underwent extrathoracic common carotid subclavian bypass with prosthetic condiut. The first 3 patient were treated by intrathoracic aorta subclavian bypasses. There was no operative mortality. All patients were symptomatic. Doppler velocimeter and coloured doppler tecnigues yielded patent bypass grafts, Extrathoracic carotid subclavian bypasses are simple and effective in subclavian steal syndromes.

Keywords

• Sublavian steal carotid
• Subclavian bypass.
• Cardiovasculer Surgery

SUBCLAVIAN STRAL SENDROMLU OLGULARDA CERRAHİ TEDAVİ Vi SONUÇLARI

Abstract

Ankara Üniversitesi Tıp Fakültesi İbn-i Sina Hastanesi Kalp ve Damar Cerrahisi Anabilim Dalında 21.1.1985 - 30.6.1991 tarihleri arasında 11 olguda subclavian steal sendromu nedeni ile cerrahi tedavi uygulanmıştır. Subclavian steal sendromu oluşturan lezyonlar 9 olguda sol subclavian arterde, 2 olguda sağ subclavian arterde idi. 7 olguda komplet oklüzyon 4 olguda ise stenoz oluşmuştu. En yaygın semptom senkop idi. Olgularda operasyon indikasyonu, zamanlama ve şeklinin belirlenmesi için arcus aortografi yapılmıştır, Son 8 olguda supraklavikular yaklaşımla ekstratorasik comman carotid-subeclavian bypass uyguladı, İlk üç olguda ise intratorasik aorta-subclavian bypass yapılmıştır. Operatif mortalite olmadı, Hiç bir olguda geçici veya kaıcı nörolojik komplikasyon oluşmadı. Postoperatif dönemde tüm olguların asemptomatik olduğu belirlendi. Doppler velocimetre ve renkli dopper teknikleri ile yapılan kontrollerde tüm olgularda graftlerin açık olduğu görüldü. Carotid subclavian bypass uygulanması subclavian steal sendromunda uygulaian basit ve mükemmel sonuçlar veren bir yöntemdir.

Keywords

• Subeclavian steal Carotid-
• subclavian bypass
• Kalp ve Damar Cerrahisi

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