Background Bilateral atherosclerotic subclavian artery occlusion is rare.Aim To describe the surgical treatment of a patient with symptomatic bilateral subclavian artery occlusion.Methods A midline sternotomy and bilateral aorto-subclavian bypass was performed in a male with upper limb, exercise-induced vertigo.Results Postoperatively symptomatic improvement paralleled an increase in brachial systolic arterial blood pressure readings.Conclusion Bypass grafting is the more durable option for subclavian artery occlusion, as angioplasty with or without stenting is associated with a higher rate of late stenosis.
作者:K. C. Redmond、M. C. Barry、E. Kavanagh、S. Dundon、M. K. O’Malley
DOI:10.1007/bf03168943
日期:2002.1
Background Bilateral atherosclerotic subclavian artery occlusion is rare.Aim To describe the surgical treatment of a patient with symptomatic bilateral subclavian artery occlusion.Methods A midline sternotomy and bilateral aorto-subclavian bypass was performed in a male with upper limb, exercise-induced vertigo.Results Postoperatively symptomatic improvement paralleled an increase in brachial systolic arterial blood pressure readings.Conclusion Bypass grafting is the more durable option for subclavian artery occlusion, as angioplasty with or without stenting is associated with a higher rate of late stenosis.