Sep 1, 1977

Subclavian steal syndrome in the pediatric age group

The Annals of Thoracic Surgery
F M Midgley, J E McClenathan


Four pediatric patients with subclavian steal syndrome (SSS) are described. One patient with congenital SSS had persistence of the lesion following surgical repair of coarctation of the aorta due to a gradient across a hypoplastic aortic arch. In 3 patients SSS developed on an acquired basis as a sequel to corrective operation, for coarctation in 1 patient, and interrupted aortic arch in 2 patients. Contributory factors included hypoplasia of the aortic arch, anatomical variation of the origin of the vertebral artery, and discrete recoarctation involving the ostium of the subclavian artery. Treatment was by vertebral artery ligation in 3 patients and by prosthetic patch arterioplasty in the patient with recoarctation. The 4 patients remain asymptomatic on follow-up of 16 to 25 months.

  • References3
  • Citations15


  • References3
  • Citations15


Mentioned in this Paper

Aplastic Anemia
Coarctation of Aorta Dominant
Entire Subclavian Artery
Subclavian-Carotid Artery Steal Syndrome
Aortic Arch Structure
Entire Vertebral Artery
Congenital Hypoplasia of Aortic Arch
Structure of Vertebral Artery

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