title: Bilateral subclavian steal syndrome.
abstract: Bilateral subclavian steal syndrome is a rare condition. It is usually due to reversal of vertebral blood flow in the setting of bilateral proximal subclavian or left subclavian plus innominate artery severe stenosis or occlusion. This finding may cause cerebral ischemia related to upper extremities exercise. We report a case of bilateral subclavian steal secondary to total occlusion of the innominate and left subclavian arteries in a patient who presented with cardiomyopathy and flow reversal in the right carotid and bilateral vertebral arteries.
authors.affiliation: Section of Vascular Medicine, Heart & Vascular Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Reza
authors.initials: R
authors.lastname: Amini
authors.affiliation: Section of Vascular Medicine, Heart & Vascular Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Gornik
authors.affiliation: Section of Vascular Medicine, Heart & Vascular Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Leslie
authors.initials: L
authors.lastname: Gilbert
authors.affiliation: Section of Vascular Medicine, Heart & Vascular Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Sue
authors.initials: S
authors.lastname: Whitelaw
authors.affiliation: Section of Vascular Medicine, Heart & Vascular Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Shishehbor