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Subclavian Stenosis with angiographic evidence of Subclavian Steal Syndrome

Fong AF - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Subclavian Stenosis with angiographic evidence of Subclavian Steal Syndrome

History: 45 year old cook who complains of left arm/hand "numbness" and "heaviness" that is present with activity. He denies vertigo when exercising the left arm, although he admits that his symptoms have caused him to curtail his activities.

Findings: The flush thoracic aortagram (with the catheter from below) shows a concentric stenosis in the proximal left subclavian artery without ante-grade flow into the ipsilateral vertebral artery. The next image, that is delayed, shows retrograde contrast filling of the left subclavian artery from the vertebral artery. The final image, that is after angioplasty and stent, shows a normal diameter proximal left subclavian artery lumen and normal ante-grade flow into the subclavian artery as well as the vertebral artery.

Ddx: Subclavian Steal Syndrome etiologies: - ASVD - Vasculitis - Trauma

Dxhow: Angiography

Exam: Well developed/well nourished white male. Diminished left radial and brachial pulses. Neurologic exam is normal. Blood pressure is 30 mmHg greater in right arm than left

No MeSH data available.


Delayed image from a thoracic aortic angiogram shows retrograde flow (arrowheads) in the left vertebral artery filling the distal subclavian artery.
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MPX1555_synpic33694: Delayed image from a thoracic aortic angiogram shows retrograde flow (arrowheads) in the left vertebral artery filling the distal subclavian artery.


Subclavian Stenosis with angiographic evidence of Subclavian Steal Syndrome

Fong AF - MedPix (2006)

Delayed image from a thoracic aortic angiogram shows retrograde flow (arrowheads) in the left vertebral artery filling the distal subclavian artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1555&req=5

MPX1555_synpic33694: Delayed image from a thoracic aortic angiogram shows retrograde flow (arrowheads) in the left vertebral artery filling the distal subclavian artery.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Subclavian Stenosis with angiographic evidence of Subclavian Steal Syndrome

History: 45 year old cook who complains of left arm/hand "numbness" and "heaviness" that is present with activity. He denies vertigo when exercising the left arm, although he admits that his symptoms have caused him to curtail his activities.

Findings: The flush thoracic aortagram (with the catheter from below) shows a concentric stenosis in the proximal left subclavian artery without ante-grade flow into the ipsilateral vertebral artery. The next image, that is delayed, shows retrograde contrast filling of the left subclavian artery from the vertebral artery. The final image, that is after angioplasty and stent, shows a normal diameter proximal left subclavian artery lumen and normal ante-grade flow into the subclavian artery as well as the vertebral artery.

Ddx: Subclavian Steal Syndrome etiologies: - ASVD - Vasculitis - Trauma

Dxhow: Angiography

Exam: Well developed/well nourished white male. Diminished left radial and brachial pulses. Neurologic exam is normal. Blood pressure is 30 mmHg greater in right arm than left

No MeSH data available.