Skip to main content
SpringerLink
Log in

Bull-Worker syncopy: Congenital subclavian steal syndrome following isometric exercise

  • Case Reports
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Summary

A patient with congenital great artery abnormality facilitating subclavian steal is presented. Sustained isometric upper body exercise, using a “Bull-Worker,” resulted in vertebrobasilar steal symptoms (subclavian steal syndrome) shortly after exercise. A mechanism for the timing of symptoms following isometric exercise is suggested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Becker AE, Becker MJ, Edwards JE (1971) Congenital anatomic potentials for subclavian steal.Chest 60:4–13

    Google Scholar 

  2. Borushok MJ, White RI Jr, Oh KS, Dorst JP (1974) Congenital subclavian steal.Am J Roentgenol Rad Ther Nucl Med 121:559–564

    Google Scholar 

  3. Contorni L (1960) Circolo collaterale vertebro-vertebrale nella obliterazione dell' arteria succlavia alla sua origine.Minerva Chir 15:268–271

    Google Scholar 

  4. Folger GM Jr, Shah SK (1965) Subclavian steal in patients with Blalock-Taussig anastomosis.Circulation 31:241–248

    Google Scholar 

  5. Gerber N (1967) Congenital atresia of the subclavian artery.Am J Dis Child 113:709–713

    Google Scholar 

  6. Midgley FM, McLenathan JE (1977) Subclavian steal syndrome in the pediatric age group.Ann Thorac Surg 24:252–257

    Google Scholar 

  7. Noble BJ (1986)Physiology of exercise and sport. Times Mirror/Mosby College Publishing, St. Louis, p 212

    Google Scholar 

  8. Patel A, Toole JF (1965) Subclavian steal syndrome—Reversal of cephalic blood flow.Medicine 44:289–303

    Google Scholar 

  9. Pifarre R, Rouse RG (1974) Congenital subclavian steal syndrome. Anatomy, physiology, pathology and surgical correction.Chest 66:299–302

    Google Scholar 

  10. Reivich M, Holling HE, Roberts B, Toole JF (1961) Reversal of blood flow through vertebral artery and its effect on cerebral circulation.N Engl J Med 265:878–885

    Google Scholar 

  11. Saalouke MG, Perry LW, Breckbill DL, Shapiro SR, Scott LP III (1978) Cerebrovascular abnormalities in post-operative coarctation of aorta.Am J Cardiol 42:97–101

    Google Scholar 

  12. Victorica BE, Van Mierop LH, Elliott LP (1970) Right aortic arch associated with contralateral congenital subclavian steal syndrome.Am J Roentgenol Rad Ther Nucl Med 108:582–590

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Pediatric Cardiology and Cardiovascular Surgery, University Hospital, Jacksonville, Florida, USA

    Richard A. Perryman (Director), Edward Bayne & Robert H. Miller

Authors
  1. Richard A. Perryman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Edward Bayne
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert H. Miller
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Perryman, R.A., Bayne, E. & Miller, R.H. Bull-Worker syncopy: Congenital subclavian steal syndrome following isometric exercise. Pediatr Cardiol 12, 105–106 (1991). https://doi.org/10.1007/BF02238413

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02238413

Key Words

Search

Navigation