title: Bilateral subclavian steal syndrome in an intensive care unit. A case report.
abstract: We report the case of a 56-year-old man who presented with arterial hypotension, lightheadedness, vomiting, a sense of tingling in his right arm, and a right-beating horizontal nystagmus. He was initially admitted to the Intensive care unit and treated with standard vasopressor agents. A neurosonological examination showed the steal phenomenon on both vertebral arteries; the neuroradiological examination revealed occlusion of the left subclavian artery and subtotal stenosis of the innominate artery. Percutaneous transluminal angioplasty was performed. Our case demonstrates how bilateral subclavian steal syndrome should be taken into account in the case of a seemingly hypotensive patient unresponsive to standard therapy.
authors.affiliation: Stroke and Intensive Care Unit, Department of Neurology, University Hospital "Sveti Duh", Zagreb, Croatia. hbudincevic@gmail.com.
authors.forename: Hrvoje
authors.initials: H
authors.lastname: Budincevic
authors.affiliation: Stroke and Intensive Care Unit, Department of Neurology, University Hospital "Sveti Duh", Zagreb, Croatia.
authors.forename: Latica
authors.initials: L
authors.lastname: Friedrich
authors.affiliation: Department of Internal Medicine,University Hospital "Sveti Duh", Zagreb, Croatia.
authors.forename: Nikolina
authors.initials: N
authors.lastname: Tolj-Karaula
authors.affiliation: Department of Internal Medicine,University Hospital "Sveti Duh", Zagreb, Croatia.
authors.forename: Nikolina
authors.initials: N
authors.lastname: Maric
authors.affiliation: Department of Radiology, University Hospital "Sveti Duh", Zagreb, Croatia.
authors.forename: Tena
authors.initials: T
authors.lastname: Sucic
authors.affiliation: Stroke and Intensive Care Unit, Department of Neurology,University Hospital "Sveti Duh", Zagreb, Croatia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Bielen
mesh_terms: D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D013349:Subclavian Steal Syndrome / Q000175:diagnosis