Bilateral subclavian steal syndrome

Background

Bilateral atherosclerotic subclavian artery occlusion is rare.

Aim

To describe the surgical treatment of a patient with symptomatic bilateral subclavian artery occlusion.

Methods

A midline sternotomy and bilateral aorto-subclavian bypass was performed in a male with upper limb, exercise-induced vertigo.

Results

Postoperatively symptomatic improvement paralleled an increase in brachial systolic arterial blood pressure readings.

Conclusion

Bypass grafting is the more durable option for subclavian artery occlusion, as angioplasty with or without stenting is associated with a higher rate of late stenosis.