Lubert Adam M, Cotts Timothy B, Henke Peter K
Division of Pediatric Cardiology, Department of Pediatrics, Adult Congenital Heart Program, University of Michigan, Ann Arbor, MI, USA.
Section of Vascular Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP172-NP175. doi: 10.1177/2150135118783638. Epub 2018 Sep 10.
A 24-year-old woman with a history of coarctation repair by subclavian flap aortoplasty presented at 15 weeks' gestation with transient episodes of vision loss. She was diagnosed with subclavian steal syndrome and underwent left carotid artery to subclavian artery bypass at 17 weeks' gestation. She has had no recurrence of symptoms at ten months of postoperative follow-up. Despite the anatomic substrate for subclavian steal in patients with this type of surgical repair, neurologic symptoms are uncommon. It is possible that the pregnancy-induced fall in systemic vascular resistance triggered symptoms in this previously asymptomatic patient.
一名24岁女性，有经锁骨下皮瓣主动脉成形术修复缩窄的病史，在妊娠15周时出现短暂视力丧失。她被诊断为锁骨下窃血综合征，并在妊娠17周时接受了左颈动脉至锁骨下动脉搭桥手术。术后十个月的随访中她没有症状复发。尽管这类手术修复的患者存在锁骨下窃血的解剖学基础，但神经症状并不常见。有可能是妊娠引起的全身血管阻力下降触发了这位先前无症状患者的症状。
