762 Received: June 4, 2009. Revised: 1st, July 1, 2009; 2nd, August 11, 2009. Accepted: September 11, 2009. Corresponding author: Jae Myeong Lee, M.D., Department of Anesthesiology and Pain Medicine, School of Medicine, The Catholic University of Korea, 65-1, Geumo-dong, Uijeongbu 480-821, Korea. Tel: 82-31-820-3087, Fax: 82-31-821-8449, E-mail: [email protected] Copyright c Korean Society of ...

T he majority of the supra-aortic atherosclerotic occlusive lesions involves the left subclavian artery.1 Such disease results in a “subclavian steal,” which was first described in 1961 by Reivich et al.2 By occluding the left subclavian artery, arterial flow is provided by the right subclavian artery with flow into the right vertebral artery and then retrograde flow into the left vertebral art...

1. Innominate artery (IA) disease is an uncommon cause of stroke. A comprehensive clinical evaluation can promptly provide important diagnostic information and help tailor a straightforward diagnostic strategy. 2. The tetrad of right arm, eye, and hemispheric and posterior circulation ischemia is highly suggestive of an IA lesion. 3. Revascularization may be safely performed using an endovascul...

A 59-year-old man developed a fast-growing mycotic innominate artery pseudoaneurysm complicating medically-treated mitral endocarditis caused by methicillin-susceptible Staphylococcus aureus. The pseudoaneurysm was revealed by ultrasound of the supra-aortic trunks and confirmed by magnetic resonance angiography (Fig. 1). The surgical treatment was performed with resection of the pseudoaneurysm ...