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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.
TOS can be related to cerebrovascular arterial insufficiency when affecting the subclavian artery. [8] It also can affect the vertebral artery, in which case it could produce vision disturbances, including transient blindness, [9] and embolic cerebral infarction. [10]
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]
Angioplasty is used to treat venous stenosis affecting dialysis access, with drug-coated balloon angioplasty proving to have better 6 month and 12 month patency than conventional balloon angioplasty. [13] Angioplasty is occasionally used to treat residual subclavian vein stenosis following decompression surgery for thoracic outlet syndrome. [14]
Subclavian steal syndrome occurs when there is occlusion or stenosis of the subclavian artery at a point before the branching of the vertebral artery. [7] This can cause blood to flow the wrong way through the vertebral artery into the distal subclavian artery, allowed by the reduced pressure. [7] [8]
Dysphagia lusoria (or Bayford-Autenrieth dysphagia) is an abnormal condition characterized by difficulty in swallowing caused by an aberrant right subclavian artery. It was discovered by David Bayford in 1761 and first reported in a paper by the same in 1787. [1]
The Blalock–Thomas–Taussig shunt (BTT shunt), [1] previously known as the Blalock–Taussig Shunt (BT shunt), [2] is a surgical procedure used to increase blood flow to the lungs in some forms of congenital heart disease [3] such as pulmonary atresia and tetralogy of Fallot, which are common causes of blue baby syndrome. [3]
The first vessel coming off the right arch is usually the right common carotid artery followed by the right subclavian artery. Double aortic arch with left dominant arch: In this less common condition, as the name indicates, the left arch is the larger of the two aortic arches.
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