Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation
The mainstay of treatment of pediatric aortic coarctation is open surgery. One option for repair includes subclavian flap aortoplasty, first described by Waldhausen and Nahrwold in 1966. Within this technique, several modifications have been made over the years as long-term follow-up data became ava...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-04-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723003180 |
| _version_ | 1797248275314638848 |
|---|---|
| author | Beth Meloro, DO John Gigioli, MD Richard Kovach, MD Gregory Domer, MD |
| author_facet | Beth Meloro, DO John Gigioli, MD Richard Kovach, MD Gregory Domer, MD |
| author_sort | Beth Meloro, DO |
| collection | DOAJ |
| description | The mainstay of treatment of pediatric aortic coarctation is open surgery. One option for repair includes subclavian flap aortoplasty, first described by Waldhausen and Nahrwold in 1966. Within this technique, several modifications have been made over the years as long-term follow-up data became available. Early outcomes revealed little concern for left upper extremity limb ischemia or subclavian steal syndrome. These complications are rare but can have a significantly delayed presentation years after coarctation repair. We present a case of subclavian steal syndrome with lifestyle-limiting vertebrobasilar symptoms experienced by a patient 36 years after subclavian flap aortoplasty for aortic coarctation. |
| first_indexed | 2024-03-08T04:06:35Z |
| format | Article |
| id | doaj.art-64efaeec1b394e12bbac477dd577db83 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-24T20:12:00Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-64efaeec1b394e12bbac477dd577db832024-03-23T06:25:35ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101409Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctationBeth Meloro, DO0John Gigioli, MD1Richard Kovach, MD2Gregory Domer, MD3Department of Vascular Surgery, Deborah Heart and Lung Center, Browns Mills, NJ; Correspondence: Beth Meloro, DO, Department of Vascular Surgery, Deborah Heart and Lung Center, 200 Trenton Rd, Browns Mills, NJ 08015Department of Vascular Surgery, Deborah Heart and Lung Center, Browns Mills, NJDepartment of Interventional Cardiology, Deborah Heart and Lung Center, Browns Mills, NJDepartment of Vascular Surgery, Deborah Heart and Lung Center, Browns Mills, NJThe mainstay of treatment of pediatric aortic coarctation is open surgery. One option for repair includes subclavian flap aortoplasty, first described by Waldhausen and Nahrwold in 1966. Within this technique, several modifications have been made over the years as long-term follow-up data became available. Early outcomes revealed little concern for left upper extremity limb ischemia or subclavian steal syndrome. These complications are rare but can have a significantly delayed presentation years after coarctation repair. We present a case of subclavian steal syndrome with lifestyle-limiting vertebrobasilar symptoms experienced by a patient 36 years after subclavian flap aortoplasty for aortic coarctation.http://www.sciencedirect.com/science/article/pii/S2468428723003180AortoplastyCoarctationSteal syndrome |
| spellingShingle | Beth Meloro, DO John Gigioli, MD Richard Kovach, MD Gregory Domer, MD Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation Journal of Vascular Surgery Cases and Innovative Techniques Aortoplasty Coarctation Steal syndrome |
| title | Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation |
| title_full | Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation |
| title_fullStr | Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation |
| title_full_unstemmed | Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation |
| title_short | Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation |
| title_sort | vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation |
| topic | Aortoplasty Coarctation Steal syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723003180 |
| work_keys_str_mv | AT bethmelorodo vertebrobasilarinsufficiencyaftersubclavianflapaortoplastyforaorticcoarctation AT johngigiolimd vertebrobasilarinsufficiencyaftersubclavianflapaortoplastyforaorticcoarctation AT richardkovachmd vertebrobasilarinsufficiencyaftersubclavianflapaortoplastyforaorticcoarctation AT gregorydomermd vertebrobasilarinsufficiencyaftersubclavianflapaortoplastyforaorticcoarctation |