Cardiovascular Surgery and Interventions 2015, Vol 2, Num 1 Page(s): 010-012
A vascular phenomenon which should be kept in mind: subclavian steal syndrome

Ata Niyazi Ecevit1, Okay Güven Karaca1, Mehmet Kalender1, Eren Günertem2, Zeynep Ulusan Özkan3

1Department of Cardiovascular Surgery, Konya Training and Research Hospital, Konya, Turkey
2Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
3Department of Cardiovascular Surgery, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Konya, Turkey

Keywords: Carotid artery; steal phenomenon; subclavian artery
The subclavian steal syndrome is a rare, yet well-known phenomenon which presents when a steno-occlusive lesion of the proximal subclavian artery results in the flow reversal of the vertebral artery, giving rise to vertebrobasilar sufficiency. A 50-year-old male patient was admitted to our clinic with complaints of the left arm coldness and pain on exertion. Physical examination revealed a cold, pale and pulseless left arm. We performed carotico-subclavian bypass with a 6 mm ringed polytetrafluoroethylene graft. Postoperative radial and ulnar pulses were palpable and his complaints resolved.

DOI : 10.5606/e-cvsi.2015.268