Subclavian Steal Syndrome Presented with Recurrent Syncope: A Case Report

Journal of National Institute of Neurosciences Bangladesh Pub Date : 2024-04-07 DOI:10.3329/jninb.v9i2.71666

M. Rassel, Mohammad Ariful Islam, Dewan Md Elyas, Mohammad Aminur Razzaque

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Abstract

The Subclavian Steal Syndrome is a rare vascular disorder that results from the stenosis of the subclavian artery proximal to the origin of the vertebral artery. This obstruction causes the retrograde blood flow in the ipsilateral vertebral artery called “steal” because it steals blood from the cerebral circulation. We report a case of subclavian steal syndrome in a 57 yrs old male with HTN and CKD. The patient presented to the emergency department of a tertiary-level hospital with a one-week history of recurrent syncopal attack with an injury mark during his last episode. He had no known cardiac structural abnormality. Further clinical examination revealed absent radial and brachial pulse and non-recordable blood pressure in the left arm. Duplex study of the left upper limb arterial system showed left subclavian artery stenosis with the retrograde flow in the left vertebral artery (subclavian-vertebral steal). A coronary angiogram confirmed proximal stenosis of the subclavian artery. The condition was successfully treated with left subclavian stenting. Journal of National Institute of Neurosciences Bangladesh, July 2023;9(2):161-167

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锁骨下动脉盗血综合征伴有反复晕厥：病例报告

锁骨下动脉盗血综合征是一种罕见的血管疾病，是由于椎动脉起源近端锁骨下动脉狭窄所致。这种阻塞导致同侧椎动脉血流逆行，因其从脑循环中窃取血液而被称为 "窃血"。我们报告了一例锁骨下窃血综合征病例，患者是一名 57 岁的男性，患有高血压和慢性肾脏病。患者到一家三级医院急诊科就诊，有一周反复晕厥发作史，最后一次发作时有受伤痕迹。他没有已知的心脏结构异常。进一步的临床检查发现，他的左臂没有桡动脉和肱动脉脉搏，血压也没有记录。左上肢动脉系统的双工检查显示左锁骨下动脉狭窄，左侧椎动脉逆流（锁骨下-椎动脉盗血）。冠状动脉造影证实锁骨下动脉近端狭窄。孟加拉国家神经科学研究所期刊》，2023 年 7 月；9（2）：161-167。

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Journal of National Institute of Neurosciences Bangladesh

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