Congenital anatomic potentials for subclavian steal.

Abstract The subclavian steal syndrome is manifested by cerebral ischemic symptoms associated with escape of cerebral blood through a vertebral artery into a subclavian artery devoid of its normal source of supply. Such flow but without cerebral manifestations is defined as subclavian steal. A classification is presented in graphic form of those congenital anomalies which have the potential for subclavian steal. The approach is through simple clinical means by determining (1) the side of the aortic arch, (2) the presence or absence of retroesophageal compression, and (3) the side in which the diminished radial pulse is present. A review of the literature was made of the 20 reported cases in which there was angiographic demonstration of a subclavian steal on a congenital basis. In only two of the patients (aged 30 and 33 years) was the subclavian steal syndrome present.

[1]  L. P. Elliott,et al.  Right aortic arch associated with contralateral congenital subclavian steal syndrome. , 1970, The American journal of roentgenology, radium therapy, and nuclear medicine.

[2]  W. J. Jacoby,et al.  Right aortic arch and coarctation of the aorta. , 1969, Diseases of the chest.

[3]  R. Karp,et al.  Angiographic study of supravalvular aortic stenosis and associated lesions. Report of five cases and review of literature. , 1969, Annales de radiologie.

[4]  V. Maranhao,et al.  Congenital subclavian steal syndrome associated with right aortic arch. , 1968, British heart journal.

[5]  Love Jw.  Varieties of congenital subclavian steal with and without the syndrome. , 1968, The Journal of cardiovascular surgery.

[6]  John D. Murphy,et al.  Origin of the Left Subclavian Artery from the Pulmonary Artery with Congenital Subclavian Steal: Surgical Implications in Cyanotic Patients , 1968 .

[7]  N. Gerber.  Congenital atresia of the subclavian artery producing the "subclavian steal syndrome". , 1967, American journal of diseases of children.

[8]  P. Zetterqvist.  Atypical coarctation of the aorta with bilateral vertebral-subclavian pathway. A report of the first known case of preligamental aortic arch interruption and its surgical correction. , 1967, Scandinavian journal of thoracic and cardiovascular surgery.

[9]  A. Antia,et al.  Collateral circulation in subclavian stenosis or atresia. Angiographic demonstration of retrograde vertebral-subclavian flow in two cases with right aortic arch. , 1966, The American journal of cardiology.

[10]  W. Bradley.  Congenital aortic arch abnormalities with the "subclavian-steal" pattern of blood flow. , 1966, British heart journal.

[11]  A. Rusinko,et al.  Right aortic arch with subclavian steal syndrome (atresia of left common carotid and left subclavian arteries). , 1966, American journal of surgery.

[12]  J. Moller,et al.  Interruption of aortic arch; anatomic patterns and associated cardiac malformations. , 1965, The American journal of roentgenology, radium therapy, and nuclear medicine.

[13]  N. Shumway,et al.  Atresia of the Aortic Arch , 1964, Circulation.

[14]  J. Grollman,et al.  THE COLLATERAL CIRCULATION IN COARCTATION OF THE AORTA WITH A DISTAL SUBCLAVIAN ARTERY. , 1964, Radiology.

[15]  Bosniak Ma.  CERVICAL ARTERIAL PATHWAYS ASSOCIATED WITH BRACHIOCEPHALIC OCCLUSIVE DISEASE. , 1964 .

[16]  M. Daves,et al.  Vertebral Grand Larceny , 1964, Circulation.

[17]  R. Massumi.  The Congenital Variety of the “Subclavian Steal” Syndrome , 1963, Circulation.

[18]  L. Wiener,et al.  The syndrome of cervical aorta. Report of a case and review of the previous cases. , 1963, The American journal of cardiology.

[19]  F. Spencer,et al.  Atresia or absence of the aortic isthmus. , 1962, The Journal of thoracic and cardiovascular surgery.

[20]  J. Edwards,et al.  Anatomic variations and pathologic changes in coarctation of the aorta; a study of 124 cases. , 1954, Surgery, gynecology & obstetrics.

[21]  M. Mcgregor,et al.  COARCTATION OF THE AORTA , 1952, British heart journal.