Cwinn Matt, Nagpal Sudhir, Jetty Prasad
Division of General Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Division of Vascular Surgery, University of Ottawa, Ottawa, Ontario, Canada.
J Vasc Surg Cases Innov Tech. 2017 Jul 18;3(3):129-131. doi: 10.1016/j.jvscit.2017.02.009. eCollection 2017 Sep.
Subclavian steal syndrome (SSS) has been well described in the setting of subclavian stenosis. We describe an unusual case of SSS caused by a high-flow arteriovenous dialysis fistula in the absence of subclavian stenosis, provide a review of the literature, and propose that arteriovenous fistula-induced SSS is an underdiagnosed cause of syncope in this population of patients.
锁骨下动脉窃血综合征(SSS)在锁骨下动脉狭窄的情况下已有详尽描述。我们描述了一例罕见的由高流量动静脉透析瘘引起的SSS病例,该病例不存在锁骨下动脉狭窄,同时对文献进行了综述,并提出动静脉瘘引起的SSS是这类患者晕厥的一个未被充分诊断的原因。