What Causes Subclavin Steel Cidrum?

A sub clavine steel cindrum. This is a proxima sub clavian arring, which then results in a reversal of blood flow through the ipsilateal vertebral. And so if you haven't seen this, or seen an animation of this or something, please just goggle it. It really helps. But john, how are you going to affix this? You can do either a throm backto me a from the brachial artery. A lot of times the artery will be permanently damaged. He'll need to do an interposition graft with resection of the first rib.