[Congenital incomplete aortic-arch-syndrome as a rare cause of cerebral ischemia in consequence of a steal-syndrome (author's transl)].
A subclavian-steal-syndrome of a congenital origin is a rare observation. The authors report on a 27 years old female patient with characteristic symptoms. The vascular deformity consisted of a right-sided aortic arch, a right descending aorta, separate origins of the anonymous and the right carotid arteries, and an aplasia of the proximal parts of the left carotid and the left subclavian arteries. A combined dacron-venous-bypass was placed from the ascending aorta to the left arm-neck arteries and thus cerebral circulation was improved and the patient got free from symptoms. Special problems of morphology and hemodynamics are discussed on the hand of arteriograms.
D000328:Adult; D001015:Aortic Arch Syndromes / Q000150:complications* / Q000601:surgery; D002339:Carotid Arteries / Q000002:abnormalities; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology* / Q000601:surgery; D013348:Subclavian Artery / Q000002:abnormalities; D013349:Subclavian Steal Syndrome / Q000209:etiology* / Q000601:surgery
Kongenitales, inkomplettes Aortenbogensyndrom als ungewöhnliche Ursache einer Hirndurchblutungsstörung mit Steal-Symptomatik