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Angiology
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Subclavian Steal Phenomenon Associated with Stress Polycythemia

A Case Report

Hiroyuki Kato

Department of Internal Medicine, Saga Medical School, Saga, Japan

Hidesuke Morita

Department of Internal Medicine, Saga Medical School, Saga, Japan

Toshinobu Takashima

Department of Internal Medicine, Saga Medical School, Saga, Japan

Keizo Ohmori

Department of Internal Medicine, Saga Medical School, Saga, Japan

Toshiaki Sunaga

Department of Internal Medicine, Saga Medical School, Saga, Japan

A case of stress polycythemia without symptoms of cerebral ischemia is presented. The patient demonstrated a blood flow reversal through the right vertebral artery that was caused by a complete obstruction of the right subclavian artery at its origin. This obstruc tion may have been due to thrombosis associated with stress polycythemia. This is a rare example of a case in which thrombotic complications of stress polycythemia occurred in a larger caliber vessel such as the subclavian artery.

Angiology, Vol. 46, No. 9, 839-842 (1995)
DOI: 10.1177/000331979504600911
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