Yoshii S, Ohshima A, Akimoto S, Hashimoto R, Kamiya K, Matsukawa T, Ueno A
Nihon Geka Gakkai Zasshi. 1986 Apr;87(4):464-9.
Surgical experience of a rare case of congenital subclavian steal syndrome is reported. A 53 year old man was admitted to our hospital complaining of black out attack and headache. Non invasive and angiographic studies revealed the subclavian steal associated with right aortic arch and atretic aberrant left subclavian artery. Through the supraclavicular incision, the direct anastomosis of the left common carotid and subclavian artery was performed. Postoperative angiograms showed a perfect reconstruction of the left subclavian artery and the disappearance of the subclavian steal and about on third amount of the complaints are still remained. Concerning a review of the literatures, several problems are discussed.
报告了一例罕见的先天性锁骨下动脉盗血综合征的手术经验。一名53岁男性因晕厥发作和头痛入院。无创和血管造影研究显示锁骨下动脉盗血与右主动脉弓及左锁骨下动脉发育不全有关。通过锁骨上切口，进行了左颈总动脉与锁骨下动脉的直接吻合。术后血管造影显示左锁骨下动脉完美重建，锁骨下动脉盗血消失，但仍有约三分之一的症状存在。结合文献复习，讨论了几个问题。
