Department of Vascular Surgery, Seton Medical Center Austin, 1201 W 38th St, Austin, Texas, USA
Phillip J. Church, M.D., F.A.C.S. is originally from Milwaukee, Wisconsin. He received his medical degree from the University of Texas Southwestern Medical Center in Dallas and completed his general surgery residency at the University of Texas Health Science Center in Dallas. His fellowship in vascular surgery was completed at the University of California in San Francisco. Dr. Church has practiced with Cardiothoracic and Vascular Surgeons since 1981.
Case Report
Rotational Vertebrobasilar Insufficiency Provoked By Distorted Trajectory of Subclavian Artery
Author(s): Hasan Sumdani*, Zanab Shahbuddin and Philip Church
Rotational vertebrobasilar insufficiency (RVBI) is a rare form of decreased posterior brain circulation perfusion and can cause symptoms such as dizziness and vertigo. It is typically caused by unilateral dynamic narrowing of the vertebral artery during rotation of the head. Here we present the case of a 70-year-old male who experienced visual disturbances and syncopal episodes with rotation of his head to the left. Investigation was carried out with fluoroscopic imaging, and his symptoms were treated with vascular surgery. Later we discuss the distinctive characteristics of his imaging and his history which includes distorted vascular architecture and past surgery. The etiology of his RVBI has not been seen in the literature before. .. View more»