Síndrome do Roubo da Subclávia: relato de caso

• DOI: 10.22533/at.ed.02319130627

• Palavras-chave: subclávia, diagnóstico, clínica, tratamento.

• Keywords: subclavian, diagnosis, clinic, treatment

• Abstract:

  INTRODUCTION: Subclavian

  Steal Syndrome (SRS) is a pathology due to the

  inversion of vertebral artery blood flow, usually

  due to occlusion of the proximal subclavian

  artery. We will report a clinical case of SRS,

  pathophysiological aspects, diagnosis and

  treatment. CASE REPORT: A 59-year-old female patient, , controlled hypertension,

  presented dizziness, dizziness, occasional syncopes that appeared during physical

  activities with left upper limb (LUL) , lameness in the same limb during routine daily

  movements, and absence of pulse. In the vascular examination he had bilateral pulses,

  but bilateral low-frequency brachial pulses. Cerebral angiography was requested with

  a study of the supra-aortic trunks that showed occlusion of the left subclavian artery

  (ASE) right after its origin, and vertebral artery and ascending cervical with retrograde

  flow compatible with SRS. We opted for surgical treatment. SRS should be suspected in

  patients with a difference in pulse and blood pressure in the upper limbs. The diagnosis

  is made with spectral Doppler showing hemodynamic alterations of the vertebral artery.

  Percutaneous transluminal angioplasty and Stents are the preferred procedures in

  treating symptomatic cases of the syndrome. FINAL CONSIDERATIONS: SRS is a

  rare and usually asymptomatic, so the importance of doing detailed medical history

  and physical examination. The diagnosis is made by pulsed Doppler, which detects the

  reverse blood flow. The treatment is surgical and aims to restore the anterograde flow

  in the affected vertebral artery, correcting cerebral hypoperfusion and symptoms.

• Número de páginas: 15