while blunt trauma of the head and neck are a common pattern of injury, significant problems related to the prompt diagnosis and optimal management of traumatic artery injuries have been reported in the literature. while patients with major artery injuries might develop hemorrhagic shock very rapidly, patients with blunt cerebrovascular injuries (bcvi) can present asymptomatic, but complication...

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...

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the left subclavian artery may be safely covered with a descending thoracic aortic stent without a prior carotid-subclavian artery bypass or transposition procedure. Altogether 2612 abstracts were identified. Forty-five non-randomized control trials and 213 non-controlled ...

Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We present a 48-year-old man with cerebrovascular and peripheral artery disease and the first case in the literature of a saphenous vein graft-coronary-subclav...

We report a case of left sided aortic arch with three branches - a bi-carotid trunk, left subclavian, artery and right subclavian artery. The anomalous right subclavian artery presented a retroesophageal course. A right non-recurrent laryngeal nerve was noticed. The embryonic development of this branching pattern is discussed.

Successful Treatment of Axillary-Subclavian Artery Thrombosis by Catheter-Based Thrombolytic Therapy: A Case Report

Lesions of the subclavian vessels due to closed chest injury are rare. Berga et all, reported during a five year period a 0.2 per cent incidence of lesions of the subclavian artery, in patients with closed chest injury. Pain and swelling were consistent findings in patients with traumatic lesions of the subclavian artery. Absence of peripheral pulsations or murmurs were occasionally found. In s...

This report highlights the utility of three dimensional (3D)-CT angiography, in conjunction with combined endovascular and open surgical management, to treat a degenerative subclavian artery aneurysm. The patient presented with an incidentally discovered right subclavian artery aneurysm and underwent surgical reconstruction without complication. Although a variety of case reports in the literat...

Percutaneous transluminal angioplasty was performed in nine patients with symptomatic proximal left subclavian artery stenoses. All cases were technically successful. One significant delayed complication occurred in a patient whose common carotid-to-subclavian artery bypass graft occluded several months after a successful subclavian artery angioplasty with a probable subsequent embolic occlusio...

Inuka Kishara Gooneratne, MBBS (Col) Ranjanie Gamage, MD (SL), MRCP (UK) Kamal Shantha Gunarathne, MD (SL) PEARL Thoracic outlet syndrome causing distal subclavian artery disease is a rare cause of arteryto-artery embolic stroke. Brainstem ischemic stroke is a result of compromise to the posterior circulation. This is often due to antegrade embolism from the heart or proximal vessels. Retrograd...