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Italian Journal of Vascular and Endovascular Surgery 2004 December;11(4):163-6

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: English

Redo in subclavian steal syndrome. A case report

La Marca G., La Barbera G., Rinaudo G., Ricevuto G., Martino A.

Vascular Surgery Unit, City Hospital, Palermo, Italy


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An atypical case of subclavian steal syndrome (SSS), recently observed and treated is described. SSS is a rare but characteristic manifestation of cerebrovascular disease due to prevertebral subclavian artery occlusion. Symptomatic patients are commonly treated by surgical therapy. The most used interventions are the carotid-subclavian bypass and the subclavian-carotid transposition. Both these interventions show a good long-term patency (80-96%). The case presented is characterized by repeated failures of the surgical interventions carried out in the following time sequence: carotid-subclavian bypass, subclavian artery PTA and axillo-axillary bypass. The presence of thrombophilic states was unsuccessfully searched in order to justify repeated graft thrombosis; therefore, the authors performed a redo carotid-subclavian bypass, still patent after 1 year. The not always correct therapeutic timing is examined in order to explain the failure of the multiple surgical interventions this patient was submitted to.

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