Atypical presentation of subclavian steal syndrome with left sided sensorineural deafness

Santiago Rolon; Jacob C Wood; Angela Gableman; Robert A Hieb; Peter J Rossi; Neel A Mansukhani

doi:10.1016/j.jvscit.2023.101308

Atypical presentation of subclavian steal syndrome with left sided sensorineural deafness

J Vasc Surg Cases Innov Tech. 2023 Aug 30;9(4):101308. doi: 10.1016/j.jvscit.2023.101308. eCollection 2023 Dec.

Authors

Santiago Rolon¹, Jacob C Wood^{1

2}, Angela Gableman¹, Robert A Hieb³, Peter J Rossi¹, Neel A Mansukhani^{1

4}

Affiliations

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
² Division of Vascular Surgery, Department of Surgery, University of North Carolina, Chapel Hill, NC, USA.
³ Division of Vascular Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, USA.
⁴ Division of Vascular Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Abstract

We present a rare manifestation of a common pathology: left sided sensorineural hearing loss secondary to subclavian steal syndrome after thoracic endovascular aortic repair for complicated acute aortic dissection. We describe the vascular physiology that can result in unilateral hearing loss and provide a brief review of subclavian steal syndrome. This case report highlights the importance of avid clinical recognition of an atypical presentation of a common vascular disease.

Keywords: Aortic dissection; Sensorineural deafness; Subclavian steal; TEVAR.

Publication types

Case Reports