1. 动脉硬化：锁骨下窃血综合征最常见的病因。更常见于左侧锁骨下动脉的狭窄/阻塞。可能是由于左锁骨下动脉开口的血流更急，所产生的湍流促进该部位动脉硬化的发生[1]。 2. 大动脉炎：多发性大动脉炎多导致弓上分支狭窄性病变[2]。 3. 胸出口综合症：胸出口综合征压迫锁骨下动脉的位置常常发生在椎动脉开口的远端。因此潜在“窃血”现象是非常低的。但由于血栓的逆行蔓延（propagation）可以导致后循环的栓塞。，由于走行在第一肋骨上的压迫和锁骨下动脉扭曲，运动员如垒球的投球手（ baseball pitchers）、板球投球手（ cricket bowlers）和高尔夫球手最可能受影响。 4. 主动脉缩窄术后[3] 5. 法鲁氏三联症根治术后【4】 6. 先天性主动脉弓变异[5-8] 1. KESTELOOT H, VANHOUTE O. REVERSED CIRCULATION THROUGH THE VERTEBRAL ARTERY. Acta Cardiol. 1963;18:285-99. 2. Yoneda S, Nukada T, Tada K, Imaizumi M, Takano T Subclavian steal in Takayasu's arteritis. A hemodynamic study by means of ultrasonic Doppler flowmetry. Stroke. 1977;8(2):264. 3. Saalouke MG, Perry LW, Breckbill DL, Shapiro SR, Scott LP 3rd. Cerebrovascular abnormalities in postoperative coarctation of aorta. Four cases demonstrating left subclavian steal on aortography. 4. Kurlan R, Krall RL, Deweese JA. Vertebrobasilar ischemia after total repair of tetralogy of Fallot: significance of subclavian steal created by Blalock-Taussig anastomosis. Vertebrobasilar ischemia after correction of tetralogy of Fallot. Stroke. 1984;15(2):359. 5. MASSUMI RA. THE CONGENITAL VARIETY OF THE "SUBCLAVIAN STEAL" SYNDROME. Circulation. 1963 Dec;28:1149-52. 6. Luetmer PH, Miller GM.Right aortic arch with isolation of the left subclavian artery: case report and review of the literature. Mayo Clin Proc. 1990 Mar;65(3):407-13. 7. Kajinami K, Mori K, Masuda S, Itoh Y, Morishita E, Imahori E. Asymptomatic congenital subclavian steal in a young male patient with right aortic arch. Chest. 1990 Feb;97(2):481-2. 8. Savastano S, Feltrin GP, Chiesura-Corona M, Miotta D. Cerebral ischemia due to congenital malformations of brachiocephalic arteries--case reports. Angiology. 1992 Jan;43(1):76-83.
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