The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 874-875, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Coexistent ipsilateral subclavian steal and thoracic outlet compression syndromes
OM Walker and RL Treasure
In this report we shall describe a 34-year old woman who presented with
signs and symptoms of ipsilateral subclavian steal and thoracic outlet
compression syndromes. The diagnosis was confirmed by arteriography and
measurement of nerve conduction velocities. Via a single approach, the
first rib was resected, the left subclavian artery was ligated at its
takeoff, and flow was re-established with a woven Dacron graft. Two years
postoperatively, the woman has equal and full pulses and blood pressure
bilaterally, good strength, and no evidence of muscle atrophy.