Vertebral Artery Transposition to the Thyrocervical Artery and Carotid – Subclavian Saphenous Bypass in a Case of Subclavian Steal Syndrome: Case Report Subklavyen Steal Sendromlu Bi̇r Vakada Vertebral Arter Thyroservi̇kal Transpozi̇syon Ve Karoti̇ko – Subklavyen Safen Bypass: Olgu Sunumu

Yazının dergiye gönderilme tarihi: 10.06.2009 Yazının basıma kabul tarihi: 18.07.2009 Abstract Subclavian steal syndrome occurs when there is stenosis of the subclavian artery proximal to vertebral artery. The vertebral artery originates from the subclavian artery just before the origin of internal mammarian artery and, the most common lesion of the vertebral artery is an atheromatous plaque located at its origin from the subclavian artery. This circumstance may cause diverse angina and neurological symptoms including vertigo, ataxia, visual disturbance and cerebral ischemia. Therefore, surgical reconstruction of the subclavian artery and vertebral artery should be done to relieve symptoms of ischemia. We present a patient who underwent vertebral artery transposition to thyrocervical artery concomitant with carotico-subclavian saphenous bypass due to subclavian artery and vertebral artery stenosis. (Pam Med J 2009;2(3):146-9).