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  • Title: Subclavian steal syndrome and flow-related aneurysm. Another reason to treat.
    Author: Pasco A, Papon X, Fournier D, Mercier P, Caron-Poitreau C, Enon B.
    Journal: J Cardiovasc Surg (Torino); 1999 Apr; 40(2):265-9. PubMed ID: 10350115.
    Abstract:
    A 48-year-old woman presented with a symptomatic right subclavian steal syndrome due to proximal subclavian artery stenosis. Anatomically the innominate artery was absent. Collateral circulation followed the vertebro-vertebral pathway with reversal of blood flow in the ipsilateral vertebral artery. There was also multiple dilated intervertebral collaterals and an associated saccular aneurysm on one of them. Surgical carotid-subclavian transposition permitted relief of clinical symptoms, disappearance of collateral circulation and subtotal regression of the aneurysm. This spontaneous evolution confirmed the role of high-flow in the pathogenesis of some aneurysms and the habitually good prognosis of flow-related aneurysms with correction of the cause. Arteriography still appears essential in diagnosis, pretherapeutic assessment and sometimes post-treatment evaluation in subclavian steal syndrome.
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