Display options
Cite
Karkos CD, Kapetanios D, Fidanis T, et al. Endovascular management of subclavian-steal syndrome in a patient with post-traumatic dissection of an aberrant right subclavian artery. Ann Vasc Surg. 2021;77:349.e19-349.e23doi: 10.1016/j.avsg.2021.05.037.
Karkos, C. D., Kapetanios, D., Fidanis, T., & Kallifatidis, A. (2021). Endovascular management of subclavian-steal syndrome in a patient with post-traumatic dissection of an aberrant right subclavian artery. Annals of vascular surgery, 77349.e19-349.e23. https://doi.org/10.1016/j.avsg.2021.05.037
Karkos, Christos D, et al. "Endovascular management of subclavian-steal syndrome in a patient with post-traumatic dissection of an aberrant right subclavian artery." Annals of vascular surgery vol. 77 (2021): 349.e19-349.e23. doi: https://doi.org/10.1016/j.avsg.2021.05.037
Karkos CD, Kapetanios D, Fidanis T, Kallifatidis A. Endovascular management of subclavian-steal syndrome in a patient with post-traumatic dissection of an aberrant right subclavian artery. Ann Vasc Surg. 2021 Nov;77:349.e19-349.e23. doi: 10.1016/j.avsg.2021.05.037. Epub 2021 Aug 23. PMID: 34437974.
Copy Download .nbib Format: NLM
Share it on

Ann Vasc Surg. 2021 Nov;77:349.e19-349.e23. doi: 10.1016/j.avsg.2021.05.037. Epub 2021 Aug 23.

Endovascular management of subclavian-steal syndrome in a patient with post-traumatic dissection of an aberrant right subclavian artery.

Annals of vascular surgery

Christos D Karkos, Dimitrios Kapetanios, Theodoros Fidanis, Alexandros Kallifatidis

Affiliations

  1. Vascular Unit, Department of Surgery, Hippocratio Hospital, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece; Department of Vascular Surgery, St Luke's Hospital, Thessaloniki, Greece. Electronic address: [email protected].
  2. Vascular Unit, Department of Surgery, Hippocratio Hospital, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece; Department of Vascular Surgery, Ludwig-Maximilian University Hospital, Munich, Germany.
  3. Department of Interventional Radiology, St Luke's Hospital, Thessaloniki, Greece.
  4. Cardiovascular Imaging Unit, St Luke's Hospital, Thessaloniki, Greece.

PMID: 34437974 DOI: 10.1016/j.avsg.2021.05.037

Abstract

BACKGROUND: An aberrant right subclavian artery is the most common congenital anomaly of the aortic arch and may cause symptoms due to aneurysmal dilatation, stenosis or occlusion. We present a case of subclavian-steal syndrome due to post-traumatic dissection of an aberrant right subclavian artery.

METHODS AND RESULTS: A 50 year-old man presented with dizziness and fainting episodes after exercising his right arm and a systolic blood pressure gradient of 40 mm Hg between the 2 arms. Suspecting a subclavian steal syndrome, a computed tomography angiography was requested which revealed an aberrant right subclavian artery with a severe stenosis proximal to the ostium of the vertebral artery. Transfemoral digital subtraction angiography showed a local dissection of the aberrant right subclavian artery with late retrograde filling of the ipsilateral vertebral artery. The lesion was successfully treated with primary stent implantation (9 mm x 40 mm, LIFESTAR, BARD). On interrogation, the patient recalled an injury to the right arm after falling off a ladder 10 years earlier, as a possible post-traumatic cause for the dissection. He had an uneventful outcome and is symptom-free 12 months down the line.

CONCLUSIONS: The combination of post-traumatic dissection of an aberrant right subclavian artery resulting to subclavian steal syndrome is an extremely rare scenario. Endovascular management is a safe, minimally invasive alternative to open surgery.

Copyright © 2021 Elsevier Inc. All rights reserved.

Publication Types