In our presentation, a 57 year old man had a cladicatio intermittans on the left arm, paresthaesia in fingers, dizziness and headache for a three year time. On the computerized tomographic angiography, it was observed that the left subclavian artery was totally occluded at the origin. There are several surgical approaches for the treatment of this syndrome. In this case, we prefered the carotico-subclavian bypass technique with supraclavicular approach due to its low rates of mortality and morbidity, and high rates of long term durability.
graft;carotid artery;subclavian steal;supraclavicular