The term “subclavian steal syndrome” was first suggested in 19611 to describe the hemodynamic changes and symptoms which occur when there is an occlusion of the intrathoracic portion of the subclavian artery, resulting in retrograde flow in the ipsilateral vertebral artery which "steals" blood from the basilar system and sometimes from the circle of Willis, resulting in symptoms of cerebral ischemia and/or claudication of the arm. Congenital subclavian steal syndrome is a rare entity, with a reported incidence of approximately 40 cases in existingliterature2 . We present a 33-years-old man with a 6-month history of intermittent claudication pain in his neck, who was eventually diagnosed with congenital subclavian steal syndrome.

Keywords : Subclavian steal, congenital subclavian steal, right sided aortic arch.