Right subclavian double steal syndrome: a case report

<p>Abstract</p> <p>Introduction</p> <p>Double-steal syndrome represents a causative factor for blood flow compromise of the cerebral vascular bed with transient neurologic symptoms. We present the case of a patient with innominate artery atherosclerotic occlusion, manif...

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Main Authors: Filis Konstantinos, Toufektzian Levon, Sigala Frangiska, Kardoulas Dimitrios, Kotzadimitriou Aikaterini, Lagoudianakis Emmanuel, Koronakis Nikolaos, Manouras Andreas
Format: Article
Language:English
Published: BMC 2008-12-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/392
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author Filis Konstantinos
Toufektzian Levon
Sigala Frangiska
Kardoulas Dimitrios
Kotzadimitriou Aikaterini
Lagoudianakis Emmanuel
Koronakis Nikolaos
Manouras Andreas
author_facet Filis Konstantinos
Toufektzian Levon
Sigala Frangiska
Kardoulas Dimitrios
Kotzadimitriou Aikaterini
Lagoudianakis Emmanuel
Koronakis Nikolaos
Manouras Andreas
author_sort Filis Konstantinos
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Double-steal syndrome represents a causative factor for blood flow compromise of the cerebral vascular bed with transient neurologic symptoms. We present the case of a patient with innominate artery atherosclerotic occlusion, manifested as blood flow reversal in the vertebral and common carotid arteries. Symptomatic atherosclerotic occlusive disease of the innominate artery is relatively rare and represents less than 2% of all extracranial causes of cerebrovascular insufficiency.</p> <p>Case presentation</p> <p>We report on a 73-year-old male patient who presented at our hospital for the evaluation of dizziness and episodes of syncope. Angiography and color Doppler examinations documented the double syndrome as retrograde flow in the right vertebral artery and the right carotid artery.</p> <p>Conclusion</p> <p>Constituting an indication for surgical correction, his condition was managed with the performance of carotid-carotid extra-anatomic bypass for the permanent reestablishment of antegrade blood flow in the vascular network supplying the brain. Carotid-carotid extra-anatomic bypass was a good option for our patient, since he remains symptom free after one year of follow up.</p>
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spelling doaj.art-e542c30aa2d342db918af7380ccd49802022-12-21T18:25:52ZengBMCJournal of Medical Case Reports1752-19472008-12-012139210.1186/1752-1947-2-392Right subclavian double steal syndrome: a case reportFilis KonstantinosToufektzian LevonSigala FrangiskaKardoulas DimitriosKotzadimitriou AikateriniLagoudianakis EmmanuelKoronakis NikolaosManouras Andreas<p>Abstract</p> <p>Introduction</p> <p>Double-steal syndrome represents a causative factor for blood flow compromise of the cerebral vascular bed with transient neurologic symptoms. We present the case of a patient with innominate artery atherosclerotic occlusion, manifested as blood flow reversal in the vertebral and common carotid arteries. Symptomatic atherosclerotic occlusive disease of the innominate artery is relatively rare and represents less than 2% of all extracranial causes of cerebrovascular insufficiency.</p> <p>Case presentation</p> <p>We report on a 73-year-old male patient who presented at our hospital for the evaluation of dizziness and episodes of syncope. Angiography and color Doppler examinations documented the double syndrome as retrograde flow in the right vertebral artery and the right carotid artery.</p> <p>Conclusion</p> <p>Constituting an indication for surgical correction, his condition was managed with the performance of carotid-carotid extra-anatomic bypass for the permanent reestablishment of antegrade blood flow in the vascular network supplying the brain. Carotid-carotid extra-anatomic bypass was a good option for our patient, since he remains symptom free after one year of follow up.</p>http://www.jmedicalcasereports.com/content/2/1/392
spellingShingle Filis Konstantinos
Toufektzian Levon
Sigala Frangiska
Kardoulas Dimitrios
Kotzadimitriou Aikaterini
Lagoudianakis Emmanuel
Koronakis Nikolaos
Manouras Andreas
Right subclavian double steal syndrome: a case report
Journal of Medical Case Reports
title Right subclavian double steal syndrome: a case report
title_full Right subclavian double steal syndrome: a case report
title_fullStr Right subclavian double steal syndrome: a case report
title_full_unstemmed Right subclavian double steal syndrome: a case report
title_short Right subclavian double steal syndrome: a case report
title_sort right subclavian double steal syndrome a case report
url http://www.jmedicalcasereports.com/content/2/1/392
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AT toufektzianlevon rightsubclaviandoublestealsyndromeacasereport
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AT kardoulasdimitrios rightsubclaviandoublestealsyndromeacasereport
AT kotzadimitriouaikaterini rightsubclaviandoublestealsyndromeacasereport
AT lagoudianakisemmanuel rightsubclaviandoublestealsyndromeacasereport
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