Kadir ARSLAN, Uğur KÜÇÜK, Bahadır KIRILMAZ

Sol subklavyan arter agenezisinde vertebral arterden aksiller artere kollateral gelişimi

Subklavyan arter agenezisi, aortadan direkt köken alan baş, boyun ve üst ekstremiteyi besleyen arte-rin konjenital olarak gelişmeme durumudur. Nadir rastlanılan bu benign durum genellikle asempto-matiktir. Ancak vakaların %20’sinde semptomatik olabilir. Agenezi ile oluşan akım azlığı veya yok-luğu nabızlarda zayıflamaya, nörolojik olaylara (presenkop, senkop) ve üst ekstremitede iskemik değişikliklere sebep olabilir. Bu semptomlara Takayasu arteriti başta olmak üzere birçok inflama-tuvar hastalık sebep olabilir.

Anahtar Kelimeler:

Koroner anjiyografi, subklavyan arter, agenezi

Collateral development from vertebral artery to axil-lary artery in left subclavian artery agenesis

Subclavian artery agenesis is the congenital underdevel-opment of the artery supplying the head, neck and upper extremity directly originating from the aorta. This rare benign condition is usually asymptomatic. But it can be symptomatic in 20% of cases. The decrease/absence of flow caused by agenesis may cause weakening in pulses, neurological events (presyncope, syncope) and ischemic changes in upper extremity. These symptoms can be caused by many inflammatory diseases, especially Taka-yasu's arteritis.

Keywords:

coronary angiography, subclavian artery, agenesis,

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1. Caesar-Peterson S, Bishop MA, Qaja E. Subclavian Artery Stenosis. 2021 Mar 3. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 29261913
2. Aboyans V, Ricco JB, Bartelink MEL, et al; ESC Scientific Document Group. 2017 ESC Guidelines on the diagnosis and treatment of peripheral arterial dis-eases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur Heart J 2018;39(9):763-816.
3. Sharma VK, Chuah B, Teoh HL, et al. Chronic brain-stem ischemia in subclavian steal syndrome. J Clin Neurosci 2010;17(10):1339-41.
4. Pollard H, Rigby S, Moritz G, Lau C. Subclavıan steal syndrome: A review. Australas Chiropr Osteopa-thy 1998;7(1):20-8.
5. Yürekli VA, Kutluhan S, Gürkaş E, et al. Subclavian steal syndrome treated by endovascular approach in the interventional Neurology clinic. Turk J Neurol 2013;19(2):66-8.