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Case Reports
. 2014;7(3):347-9.
doi: 10.3400/avd.cr.14-00060. Epub 2014 Sep 25.

Conservative management in a young woman affected by isolated left subclavian artery dissection

Vincenzo Catanese  1 , Matteo Alberto Pegorer  1 , Daniele Bissacco  1 , Sara Di Gregorio  1 , Raffaello Dallatana  1 , Piergiorgio Settembrini  2
Affiliations
Case Reports

Conservative management in a young woman affected by isolated left subclavian artery dissection

Vincenzo Catanese et al. Ann Vasc Dis. 2014.

Abstract

Subclavian Artery Dissection (SAD) is a rare condition, generally due to arterial catheterization, blunt trauma or connective tissue disease. Spontaneous or minimally traumatic cases have also been reported. Clinical manifestations are usually chest and/or back pain, pulse loss and paresthesia, whereas nausea, dizziness and vomiting are present in case of involvement of the vertebral artery. We report an unusual case of a young woman presenting isolated left SAD after traffic accident, minimally symptomatic, and treated with medical therapy alone. A conservative management and a closed follow-up appear to be a safe approach in patients affected by uncomplicated SAD without other comorbidities.

Keywords: artery dissection; conservative management; subclavian artery.

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Figures

Fig. 1
Fig. 1
Computed tomography angiography demonstrated isolated dissection of the left subclavian artery. The magnification of the image shows the regular profile of left vertebral artery (asterisk) and the double-lumen within left subclavian artery (arrows).
Fig. 2
Fig. 2
Control magnetic resonance angiography image, one year after discharge, shows the regular profile of left subclavian artery.
See this image and copyright information in PMC

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