title: Bilateral subclavian steal syndrome.
abstract: BACKGROUND
  Bilateral atherosclerotic subclavian artery occlusion is rare.
  
  
  OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of Vascular Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
authors: K C
authors: KC
authors: Redmond
authors: M C
authors: MC
authors: Barry
authors: E
authors: E
authors: Kavanagh
authors: S
authors: S
authors: Dundon
authors: M K
authors: MK
authors: O'Malley
mesh_terms: D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*