Case Report
 
Right subclavian steal syndrome in a patient with aberrant right subclavian artery, common carotid trunk and hypoplastic left vertebral artery
Boochi Babu Mannuva1, Rajasekhar Durgaprasad2, Vanajakshamma Velam3, Shashanka Chunduri4, Vijayalajshmi Devi B5
1MD, Senior Resident, Department of Cardiology, SVIMS, Tirupati, A.P, India.
2MD, FACC, Dean, Professor & Head, Department of Cardiology, SVIMS, Tirupati, A.P, India.
3MD, Professor, Department of Cardiology, SVIMS, Tirupati, A.P, India.
4MD, Assistant Professor of Cardiology, SVIMS, Tirupati, A.P, India.
5DMRD, DNB, Associate professor of radiology, SVIMS, Tirupati, A.P, India.

doi:10.5348/ijcri-2013-08-343-CR-2

Address correspondence to:
Dr. Boochi Babu Mannuva,
(Senior Resident), Dept. of Cardiology
Sri Venkateswara Institute of Medical Sciences
Tirupati -517507, Andhra Pradesh
India
Phone: +91-7382782540
Email: e.mbb99@gmail.com

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How to cite this article:
Mannuva BB, Durgaprasad R, Velam V, Chunduri S, Devi VB. Right subclavian steal syndrome in a patient with aberrant right subclavian artery, common carotid trunk and hypoplastic left vertebral artery. International Journal of Case Reports and Images 2013;3(8):406–410.


Abstract
Introduction: Subclavian steal syndrome refers to the reversal of vertebral blood flow in the setting of proximal subclavian or innominate artery severe stenosis or occlusion resulting in the symptoms of vertebrobasilar insufficiency related to exercise of the upper extremities. It is more common on the left side.
Case Report: We reported a case of subclavian steal syndrome on the right side in a patient with aberrant right subclavian artery (ARSCA), hypoplastic left vertebral artery and common carotid trunk (CCT) branching in to the left and right common carotid arteries.
Conclusion: Till now, combination of ARSCA, CCT and left vertebral artery hypoplasia in the same person has not been reported and this combination causes ischemia in large area of brain if the patient develops hemodynamically significant stenosis or occlusion in both CCT and ARSCA proximal to the origin of right vertebral artery.

Keywords: Right subclavian steal syndrome, Aberrant right subclavian artery, Common carotid trunk, Hypoplastic left vertebral artery


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Author Contributions
Boochi Babu Mannuva – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rajasekhar Durgaprasad – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vanajakshamma Velam – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shashanka Chunduri – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vijayalajshmi Devi B – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
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© Boochi Babu Mannuva et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)