J Korean Vasc Surg Soc.  1998 Apr;14(1):119-124.

Surgical Treatment of Left Subclavian Occlusive Lesion: A case report

Affiliations
  • 1Department of Surgery, Wonkwang University Hospital, Iksan, Korea.

Abstract

The causes of subclavian artery obstruction are arteriosclerosis, chest trauma, extrinsic compressive lesion of tumor or fibrosis, ateritis and coractation of aorta. Symptoms associated with subclavian artery obstruction can manifest dizziness, vertigo, ataxia, bilateral visual change because of vertebral-basilar artery insufficiency, or manifest fatigue, claudication, rest pain, digital necrosis because of arm ischemia. Treatment of subclavian artery occlusive lesion can be only medical treatment if patients was asymptomatic and a variety of surgical procedures-endarterectomy, carotid-subclavian bypass, subclavian- subclavian bypass, axillo-axillary bypass-can be recommended according to the state of surrounding vessel and general condition of patients. We experienced a case of subclavian artery obstruction in a 65 years-old male with severe claudication in left upper extremity and who had suffered from ischemic symptoms of left lower extremity. Patient was surgically treated by femoro-femoral bypass on occlusive lesion of the left lower extremity and carotid-subclavian transposition on left subclavian lesion. Postoperative result was excellent and claudication of left upper and lower extremities were completely relieved.

Keyword

Subclavian artery obstruction; Carotid-subclavian transposition

MeSH Terms

Aged
Aorta
Arm
Arteries
Arteriosclerosis
Ataxia
Dizziness
Fatigue
Fibrosis
Humans
Ischemia
Lower Extremity
Male
Necrosis
Subclavian Artery
Thorax
Upper Extremity
Vertigo
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