Midgley F M, McClenathan J E
Ann Thorac Surg. 1977 Sep;24(3):252-7. doi: 10.1016/s0003-4975(10)63752-6.
Four pediatric patients with subclavian steal syndrome (SSS) are described. One patient with congenital SSS had persistence of the lesion following surgical repair of coarctation of the aorta due to a gradient across a hypoplastic aortic arch. In 3 patients SSS developed on an acquired basis as a sequel to corrective operation, for coarctation in 1 patient, and interrupted aortic arch in 2 patients. Contributory factors included hypoplasia of the aortic arch, anatomical variation of the origin of the vertebral artery, and discrete recoarctation involving the ostium of the subclavian artery. Treatment was by vertebral artery ligation in 3 patients and by prosthetic patch arterioplasty in the patient with recoarctation. The 4 patients remain asymptomatic on follow-up of 16 to 25 months.
本文描述了4例患有锁骨下动脉盗血综合征（SSS）的儿科患者。1例先天性SSS患者在主动脉缩窄手术修复后，由于发育不全的主动脉弓存在压差，病变持续存在。在3例患者中，SSS是后天形成的，是矫正手术的后遗症，其中1例是主动脉缩窄，2例是主动脉弓中断。促成因素包括主动脉弓发育不全、椎动脉起源的解剖变异以及涉及锁骨下动脉开口的局限性再缩窄。3例患者接受了椎动脉结扎治疗，1例再缩窄患者接受了人工补片动脉成形术。4例患者在16至25个月的随访中仍无症状。
