A rare association of subclavian steal syndrome with bilateral carotid artery stenosis: a case report
Journal of Vascular Surgery Cases, Innovations and Techniques(2023)
摘要
Bilateral carotid artery stenosis in the context of subclavian steal syndrome is an extremely rare finding. We report the case of a 75-year-old woman who presented with a transient ischemic attack. Bilateral internal carotid stenosis associated with left subclavian steal syndrome was diagnosed. Left internal carotid endarterectomy was performed under locoregional anesthesia. Inflation of a blood pressure cuff reversed the neurologic symptoms that appeared after internal carotid clamping. This rarely reported case remains a challenge to diagnose and treat because of its complex mechanisms and multiple risk factors. Our case highlights the importance of the surgical strategy adopted and the need for a good initial assessment.
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关键词
subclavian steal syndrome,bilateral carotid artery stenosis,rare association
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