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(Chest. 1971;60:4-13.)
© 1971 American College of Chest Physicians

Congenital Anatomic Potentials for Subclavian Steal

Anton E. Becker M.D.1; Mies J. Becker M.D.1; and Jesse E. Edwards M.D.1

1 Departments of Pathology of The Charles T. Miller Hospital, St. Paul, Minnesota and of The University of Minnesota, Minneapolis, Minnesota

The subclavian steal syndrome is manifested by cerebral ischemic symptoms associated with escape of cerebral blood through a vertebral artery into a subclavian artery devoid of its normal source of supply. Such flow but without cerebral manifestations is defined as subclavian steal. A classification is presented in graphic form of those congenital anomalies which have the potential for subclavian steal. The approach is through simple clinical means by determining (1) the side of the aortic arch, (2) the presence or absence of retroesophageal compression, and (3) the side in which the diminished radial pulse is present. A review of the literature was made of the 20 reported cases in which there was angiographic demonstration of a subclavian steal on a congenital basis. In only two of the patients (aged 30 and 33 years) was the subclavian steal syndrome present.




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