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