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    Aortic arch syndrome

    Subclavian artery occlusive syndrome; Carotid artery occlusion syndrome; Subclavian steal syndrome; Vertebral-basilar artery occlusive syndrome

    Aortic arch syndrome refers to a group of signs and symptoms associated with structural problems in the arteries that branch off the aortic arch. The aortic arch is the top part of the main artery carrying blood away from the heart.

    Causes

    Aortic arch syndrome problems are most often associated with trauma, blood clots, or malformations that develop before birth. The arteries' defects result in abnormal blood flow to the head, neck, or arms.

    In children, there are multiple types of aortic arch syndromes, including:

    • Congenital absence of a branch of the aorta
    • Isolation of the subclavian arteries
    • Vascular rings

    Symptoms

    Symptoms vary according to the affected artery, but may include:

    • Neurological changes such as:
      • Dizziness
      • Blurred vision
      • Weakness
    • Blood pressure changes
    • Breathing problems
    • Numbness of an arm
    • Reduced pulse
    • Transient ischemic attacks

    Treatment

    Surgery is usually required to treat the underlying cause of aortic arch syndrome.

    References

    Braverman AC, Thompson RW, Sanchez LA. Diseases of the Aorta. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa:Saunders Elsevier; 2011:chap 60.

    Isselbacher EM. Diseases of the Aorta. In: Goldman L,Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier;2011:chap 78.

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          Review Date: 6/7/2012

          Reviewed By: Glenn Gandelman, MD, MPH, FACC Assistant Clinical Professor of Medicine at New York Medical College, and in private practice specializing in cardiovascular disease in Greenwich, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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          St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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