Mehmet DOĞAN, Ramazan AKDEMİR, Ekrem YETER, Harun KILIÇ, Uğur ARSLANTAŞ, Sadık AÇIKEL

Subklaviyan Darlık: Karotis Üfürümünün İhmal Edilen Nedeni

Otuz yedi yaşında erkek hasta miyokart enfarktüsü ve senkop tanılarıyla kliniğimize yatırıldı. Fizik muayenesindesol radiyal arter nabız yokluğu, sağ (80/50mmHg) ve sol (110/70mmHg) kol arasında kan basıncı farkı ve sol boyun- da karotis üfürümü saptandı. Korotis Doppler USG normal izlendi. Anjiyografisinde sirkumflex arterde ciddi daral- ma(%90), karotis arterin normal, vertebral arter çıkış yeri öncesi subklaviyan arterde %70 darlık olduğu görüldü. sir- kumfleks ve subklaviyan artere perkütan anjiyoplasti işlemi yapıldı. İşlem sonrası semptomları düzeldi, sol kol radi- yal nabzı normale döndü, karotis üfürümü düzeldi.

Subclavian Stenosis: Forgotten Cause Of Carotid Bruits

A 37 year-old man admitted our clinic with myokardial infarcts and syncope. Physical examination revealed a lackof radial artery pulse, blood pressure difference between left (80/50 mmHg) and right (110/70) arms, and the carotidbruits heard at left neck. Angiography revealed a severe circumflex stenosis (90%), normal carotid arteries and a criti- cal (70%) stenosis of the subclavian artery proximal to the left vertebral artery origin. With these findings, circumflexand subclavian arteries stenting were performed. After the procedure, the patient was asymptomatic and regainedpalpable left radial pulse and lacking the carotid bruit.

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