Right subclavian steal syndrome. Role of ultrasound in diagnosis
Subclavian steal syndrome is a well described but usually underdiagnosed condition. We present a documented case of subclavian steal syndrome and a review of the literature, focusing on the the importance of image techniques in its diagnosis. Our patient presented with a carotid territory transient...
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| Format: | Article |
| Language: | English |
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Universidad de la República
2017-02-01
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| Series: | Anales de la Facultad de Medicina |
| Subjects: | |
| Online Access: | http://www.anfamed.edu.uy/index.php/rev/article/view/240 |
| _version_ | 1819001947354562560 |
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| author | Eduardo Sabia |
| author_facet | Eduardo Sabia |
| author_sort | Eduardo Sabia |
| collection | DOAJ |
| description | Subclavian steal syndrome is a well described but usually underdiagnosed condition. We present a documented case of subclavian steal syndrome and a review of the literature, focusing on the the importance of image techniques in its diagnosis.
Our patient presented with a carotid territory transient ischemic attack. While searching for the etiological diagnosis, an ultrasound Doppler study of the cervical arteries was performed, revealing a subclavian steal syndrome. This finding, in a patient that presented no related symptoms, was later confirmed with an aortic angio-CT scan.
Subclavian steal syndrome is a rare pathology caused by an occlusion or severe stenosis at the subclavian artery origin, generating a reverse flow in the ipsilateral vertebral artery; the patient may show symptoms of posterior circulation hypoperfusion and ischemia of the involved upper limb. However, absence of symptoms is frequent and diagnosis is often achieved as an unexpected finding during examinations performed in the evaluation of other conditions.
We point out the importance of an early diagnosis in patients with panvascular disease undergoing myocardial revascularization surgery, which could avoid post surgical complications such as coronary steal syndrome. |
| first_indexed | 2024-12-20T22:57:18Z |
| format | Article |
| id | doaj.art-2488a31fcf614b4ca0dddcb576237adc |
| institution | Directory Open Access Journal |
| issn | 2301-1254 |
| language | English |
| last_indexed | 2024-12-20T22:57:18Z |
| publishDate | 2017-02-01 |
| publisher | Universidad de la República |
| record_format | Article |
| series | Anales de la Facultad de Medicina |
| spelling | doaj.art-2488a31fcf614b4ca0dddcb576237adc2022-12-21T19:24:05ZengUniversidad de la RepúblicaAnales de la Facultad de Medicina2301-12542017-02-0132414779Right subclavian steal syndrome. Role of ultrasound in diagnosisEduardo SabiaSubclavian steal syndrome is a well described but usually underdiagnosed condition. We present a documented case of subclavian steal syndrome and a review of the literature, focusing on the the importance of image techniques in its diagnosis. Our patient presented with a carotid territory transient ischemic attack. While searching for the etiological diagnosis, an ultrasound Doppler study of the cervical arteries was performed, revealing a subclavian steal syndrome. This finding, in a patient that presented no related symptoms, was later confirmed with an aortic angio-CT scan. Subclavian steal syndrome is a rare pathology caused by an occlusion or severe stenosis at the subclavian artery origin, generating a reverse flow in the ipsilateral vertebral artery; the patient may show symptoms of posterior circulation hypoperfusion and ischemia of the involved upper limb. However, absence of symptoms is frequent and diagnosis is often achieved as an unexpected finding during examinations performed in the evaluation of other conditions. We point out the importance of an early diagnosis in patients with panvascular disease undergoing myocardial revascularization surgery, which could avoid post surgical complications such as coronary steal syndrome.http://www.anfamed.edu.uy/index.php/rev/article/view/240Ecodoppler, robo de la subclavia |
| spellingShingle | Eduardo Sabia Right subclavian steal syndrome. Role of ultrasound in diagnosis Anales de la Facultad de Medicina Ecodoppler, robo de la subclavia |
| title | Right subclavian steal syndrome. Role of ultrasound in diagnosis |
| title_full | Right subclavian steal syndrome. Role of ultrasound in diagnosis |
| title_fullStr | Right subclavian steal syndrome. Role of ultrasound in diagnosis |
| title_full_unstemmed | Right subclavian steal syndrome. Role of ultrasound in diagnosis |
| title_short | Right subclavian steal syndrome. Role of ultrasound in diagnosis |
| title_sort | right subclavian steal syndrome role of ultrasound in diagnosis |
| topic | Ecodoppler, robo de la subclavia |
| url | http://www.anfamed.edu.uy/index.php/rev/article/view/240 |
| work_keys_str_mv | AT eduardosabia rightsubclavianstealsyndromeroleofultrasoundindiagnosis |