Axillo-axillary bypass grafting is considered the operation of choice for patients with subclavian steal syndrome. Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges. Presently described is case of chronic obstructive lung disease and coronary artery disease in a 52-year-old man who required axillo-axillary bypass surgery...

28 Endovascular Today junE 2012 P roximal subclavian artery occlusive disease is a fairly common, usually asymptomatic, phenomenon.1 When patients become symptomatic, they can present with subclavian steal syndrome, or after coronary artery bypass grafting (CABG), coronary subclavian steal syndrome. Both syndromes share similar pathophysiology, diagnostic criteria, and management. The presentat...

A 73-year-old man presented with recurrent vertigo and diplopia occurring during manual work. On admission, a physical examination found no neurological deficits but the volume of his left radial pulse was diminished, and a loud bruit was detected over the left subclavicular region. His blood pressure was 160/78 mm Hg in the right arm and 134/65 mm Hg in the left arm. Hallpike test was negative...

Since the initial reports by Contorni (1960) and Toole (1961) concerning the reversal of blood flow in the vertebral artery, several similar reports have been published (Reivich et al., 1961; Parrott, 1964; Swales and Farrow, 1964; Steinberg and Halperin, 1963; Patel and Toole, 1965). This condition became known as the subclavian steal syndrome. Almost all the reported cases describing the anat...

The coronary steal syndrome is an uncommon but well recognised occurrence following coronary artery by-pass surgery using the internal mammary artery. We report a case of coronary steal successfully treated with percutaneous transluminal angioplasty of a subclavian stenosis.

Subclavian steal syndrome, which comprises reversal of flow in the ipsilateral vertebral artery with stenosis or occlusion of the subclavian artery (SA) or brachiocephalic trunk (BCT), was first described by Contorni in 1960 [1]. This clinical syndrome manifests with the signs and symptoms of vertebrobasilar insufficiency, but can also be asymptomatic. This paper describes a step-by-step techni...