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Subclavian Steal Syndrome

Cunningham PJC - MedPix (2013)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Subclavian Steal Syndrome

History: A 65-year-old, right hand dominant woman presents with intermittent presyncopal episodes, usually experienced during the day while working around the house. She also c/o of progressive right hand and forearm paresthesias. She has a 90 pack-year smoking history and approximately 10 year history of mild hypertension for which she does not take medication.

Findings: • Right subclavian artery does not fill from aorta • Proximal left subclavian irregular • Delayed filling of right subclavian from the vertebral artery

Ddx: • Subclavian steal

Dxhow: Angiography

Exam: Work up for presyncopal episodes included brain MRI and echocardiogram which were negative, and carotid Doppler ultrasound which revealed 70-80% stenosis of right carotid artery. Abnormal flow was also seen in the right vertebral artery. A catheter angiogram was performed.

No MeSH data available.


Selective catheter angiogram of the left (contralateral) subclavian artery also shows retrograde filling of the right vertebral artery from the left vertebral - through the basilar artery anastomosis (not shown).  Labeled image
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MPX1784_synpic1108: Selective catheter angiogram of the left (contralateral) subclavian artery also shows retrograde filling of the right vertebral artery from the left vertebral - through the basilar artery anastomosis (not shown). Labeled image


Subclavian Steal Syndrome

Cunningham PJC - MedPix (2013)

Selective catheter angiogram of the left (contralateral) subclavian artery also shows retrograde filling of the right vertebral artery from the left vertebral - through the basilar artery anastomosis (not shown).  Labeled image
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1784&req=5

MPX1784_synpic1108: Selective catheter angiogram of the left (contralateral) subclavian artery also shows retrograde filling of the right vertebral artery from the left vertebral - through the basilar artery anastomosis (not shown). Labeled image

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Subclavian Steal Syndrome

History: A 65-year-old, right hand dominant woman presents with intermittent presyncopal episodes, usually experienced during the day while working around the house. She also c/o of progressive right hand and forearm paresthesias. She has a 90 pack-year smoking history and approximately 10 year history of mild hypertension for which she does not take medication.

Findings: • Right subclavian artery does not fill from aorta • Proximal left subclavian irregular • Delayed filling of right subclavian from the vertebral artery

Ddx: • Subclavian steal

Dxhow: Angiography

Exam: Work up for presyncopal episodes included brain MRI and echocardiogram which were negative, and carotid Doppler ultrasound which revealed 70-80% stenosis of right carotid artery. Abnormal flow was also seen in the right vertebral artery. A catheter angiogram was performed.

No MeSH data available.