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마취 종료후 우연히 발견된 쇄골하 동맥 도루 증후군: 양측 상완 혈압의 차이-증례 보고-

Other Titles
 Subclavian Steal Syndrome Found Incidentally during Emergence: Difference in Blood Pressures between Both Arms -A case report - 
 심연희  ;  장철호  ;  이종연  ;  정채일  ;  신양식 
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.35(3) : 553-557, 1998 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
Issue Date
Subclavian steal syndrome is understood to be an occlusion or stenosis of the subclavian artery proximal to the origin of the vertebral artery with a retrograde flow of blood through the ipsilateral vertebral artery. It is characterized most prominently and most consistently by unequal blood pressures of both arms.

In this case, we found incidentally unequal arm pressures during emergence. After the surgery, the 95% stenosis of left anterior descending coronary artery and total occlusion of subclavian artery was proved angiographically. This patient had the risk factors of atherosclerosis such as male, DM, hypertension, smoking and hyperlipidemia.

In conclusion, pressures should be taken from both arms during initial visit, when the patient has the risk factors of atherosclerosis.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Shim, Yon Hee(심연희) ORCID logo https://orcid.org/0000-0003-1921-3391
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