Abstract
We successfully treated a case of extra-anatomical revascularization using an extrathoracic approach for what is called subclavian steal syndrome, and we describe the operative method. A 65-year-old man with dizziness was examined by digital subtraction assessment and given a diagnosis of subclavian steal syndrome by occlusion of left subclavian artery. He was relatively young for his age with good general condition, and no lesion were detected in aortic arch branches and cerebral arteries except for left subclavian artery. Therefore we performed left common carotid artery-subclavian artery bypass using a prosthetic graft. The preoperative symptoms and difference in blood pressure among arteries of the upper limbs disappeared, and he was discharged 15 days after surgery.
