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.
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Becker AE, Becker MJ, Edwards JE (1971) Congenital anatomic potentials for subclavian steal.Chest 60:4–13
Borushok MJ, White RI Jr, Oh KS, Dorst JP (1974) Congenital subclavian steal.Am J Roentgenol Rad Ther Nucl Med 121:559–564
Contorni L (1960) Circolo collaterale vertebro-vertebrale nella obliterazione dell' arteria succlavia alla sua origine.Minerva Chir 15:268–271
Folger GM Jr, Shah SK (1965) Subclavian steal in patients with Blalock-Taussig anastomosis.Circulation 31:241–248
Gerber N (1967) Congenital atresia of the subclavian artery.Am J Dis Child 113:709–713
Midgley FM, McLenathan JE (1977) Subclavian steal syndrome in the pediatric age group.Ann Thorac Surg 24:252–257
Noble BJ (1986)Physiology of exercise and sport. Times Mirror/Mosby College Publishing, St. Louis, p 212
Patel A, Toole JF (1965) Subclavian steal syndrome—Reversal of cephalic blood flow.Medicine 44:289–303
Pifarre R, Rouse RG (1974) Congenital subclavian steal syndrome. Anatomy, physiology, pathology and surgical correction.Chest 66:299–302
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
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
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
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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
- Subclavian steal syndrome
- Isometric exercise