Asymptomatic subclavian steal syndrome in children following cardiac surgery: A potential hazard with re-operation?

Michael O. Gayle; C. Anthony Ryan; Kathy Pauw; Patricia Penkoske

doi:10.1007/BF00798214

Asymptomatic subclavian steal syndrome in children following cardiac surgery: A potential hazard with re-operation?

Michael O. Gayle, C. Anthony Ryan, Kathy Pauw, Patricia Penkoske

Division of Critical Care

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Abstract

We describe a case of fatal hypoxic-ischemic encephalopathy, leading to brain death following the modified Fontan procedure in a child with asymptomatic subclavian steal syndrome (SSS). This patient's brain death was most likely multifactorial in view of his postoperative course. However, we believe that the presence of the SSS contributed to the abnormal cerebral circulation during surgery and postoperatively, leading to brain death. The presence of SSS in patients undergoing an open-heart procedure may be a risk factor cerebral ischemia or brain death.

Original language	English
Pages (from-to)	100-103
Number of pages	4
Journal	Pediatric Cardiology
Volume	13
Issue number	2
DOIs	https://doi.org/10.1007/BF00798214
State	Published - Apr 1992

Keywords

Brain death
Fontan
Subclavian steal syndrome

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10.1007/BF00798214

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title = "Asymptomatic subclavian steal syndrome in children following cardiac surgery: A potential hazard with re-operation?",

abstract = "We describe a case of fatal hypoxic-ischemic encephalopathy, leading to brain death following the modified Fontan procedure in a child with asymptomatic subclavian steal syndrome (SSS). This patient's brain death was most likely multifactorial in view of his postoperative course. However, we believe that the presence of the SSS contributed to the abnormal cerebral circulation during surgery and postoperatively, leading to brain death. The presence of SSS in patients undergoing an open-heart procedure may be a risk factor cerebral ischemia or brain death.",

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AU - Gayle, Michael O.

AU - Ryan, C. Anthony

AU - Pauw, Kathy

AU - Penkoske, Patricia

PY - 1992/4

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N2 - We describe a case of fatal hypoxic-ischemic encephalopathy, leading to brain death following the modified Fontan procedure in a child with asymptomatic subclavian steal syndrome (SSS). This patient's brain death was most likely multifactorial in view of his postoperative course. However, we believe that the presence of the SSS contributed to the abnormal cerebral circulation during surgery and postoperatively, leading to brain death. The presence of SSS in patients undergoing an open-heart procedure may be a risk factor cerebral ischemia or brain death.

AB - We describe a case of fatal hypoxic-ischemic encephalopathy, leading to brain death following the modified Fontan procedure in a child with asymptomatic subclavian steal syndrome (SSS). This patient's brain death was most likely multifactorial in view of his postoperative course. However, we believe that the presence of the SSS contributed to the abnormal cerebral circulation during surgery and postoperatively, leading to brain death. The presence of SSS in patients undergoing an open-heart procedure may be a risk factor cerebral ischemia or brain death.

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KW - Subclavian steal syndrome

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ER -

Asymptomatic subclavian steal syndrome in children following cardiac surgery: A potential hazard with re-operation?

Abstract

Keywords

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