A rare association of subclavian steal syndrome with bilateral carotid artery stenosis: a case report

Bilateral carotid artery stenosis in the context of subclavian steal syndrome is an extremely rare finding. We report the case of a 75-year-old woman who presented with a transient ischemic attack. Bilateral internal carotid stenosis associ-ated with left subclavian steal syndrome was diagnosed. Left internal carotid endarterectomy was performed under locoregional anesthesia. Inflation of a blood pressure cuff reversed the neurologic symptoms that appeared after internal carotid clamping. This rarely reported case remains a challenge to diagnose and treat because of its complex mecha-nisms and multiple risk factors. Our case highlights the importance of the surgical strategy adopted and the need for a good initial assessment. (J Vasc Surg Cases Innov Tech 2023;9:101243.)