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Subclavian steal syndrome; Other names: Subclavian steal phenomenon or Subclavian steal steno-occlusive disease: The proximal part of left subclavian is blocked (shaded artery). This prevents antegrade ("forward") flow to the left arm and left vertebral. As a result, flow in the left vertebral is retrograde ("backwards") towards the left arm.
Aberrant subclavian artery, or aberrant subclavian artery syndrome, is a rare anatomical variant of the origin of the right or left subclavian artery. This abnormality is the most common congenital vascular anomaly of the aortic arch, [1] occurring in approximately 1% of individuals. [1] [2] [3]
The left subclavian artery supplies blood to the left arm and the right subclavian artery supplies blood to the right arm, with some branches supplying the head and thorax. On the left side of the body, the subclavian comes directly off the aortic arch , while on the right side it arises from the relatively short brachiocephalic artery when it ...
Besides, overuse injury of the upper limbs causes swellings, small bleeding, and subsequent fibrosis which would cause the thrombosis of the subclavian vein, leading to Paget–Schroetter disease or effort-induced thrombosis. [7] TOS can be related to cerebrovascular arterial insufficiency when affecting the subclavian artery. [8]
Several types of right-sided aortic arch exist, the most common ones being right-sided aortic arch with aberrant left subclavian artery and the mirror-image type. The variant with aberrant left subclavian artery is associated with congenital heart disease in only a small minority of affected people.
The brachiocephalic artery, brachiocephalic trunk, or innominate artery is an artery of the mediastinum that supplies blood to the right arm, head, and neck. [1] [2] It is the first branch of the aortic arch. [3] Soon after it emerges, the brachiocephalic artery divides into the right common carotid artery and the right subclavian artery. [4]
The procedure involves connecting a branch of the subclavian artery or carotid artery to the pulmonary artery. In modern practice, this procedure is temporarily used to direct blood flow to the lungs and relieve cyanosis while the infant is waiting for corrective or definitive surgery when their heart is larger.
When considering cardiovocal syndrome, the most common historical cause is a dilated left atrium due to mitral stenosis, but other causes, including pulmonary hypertension, [2] thoracic aortic aneurysms, an enlarged pulmonary artery [3] and aberrant subclavian artery syndrome have been reported compressing the nerve. [4]
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