Symptomatic Subclavian Steal During Pregnancy in a Woman Status Post Coarctation Repair in Infancy. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Lubert, Adam M.; Cotts, Timothy B.; Henke, Peter K.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 11:Issue 4(2020)
• Page Start: NP172
• Page End: NP175
• Publication Date: 2020-07
• Subjects: adult congenital heart disease -- subclavian steal syndrome -- pregnancy -- coarctation -- vascular surgery; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118783638
• Languages: English
• ISSNs: 2150-1351

Abstract

A 24-year-old woman with a history of coarctation repair by subclavian flap aortoplasty presented at 15 weeks' gestation with transient episodes of vision loss. She was diagnosed with subclavian steal syndrome and underwent left carotid artery to subclavian artery bypass at 17 weeks' gestation. She has had no recurrence of symptoms at ten months of postoperative follow-up. Despite the anatomic substrate for subclavian steal in patients with this type of surgical repair, neurologic symptoms are uncommon. It is possible that the pregnancy-induced fall in systemic vascular resistance triggered symptoms in this previously asymptomatic patient.