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Case Reports
. 2020 Dec 18;12(12):e12151.
doi: 10.7759/cureus.12151.

Idiopathic Left Subclavian Artery Dissection

Samantha Williams  1 , Ana Pagan Jaramillo  1 , Marie-Louise Posch  1 , Sean-Patrick A Prince  1 , Leonard Hamera  1
Affiliations
Case Reports

Idiopathic Left Subclavian Artery Dissection

Samantha Williams et al. Cureus. .

Abstract

We present a case of a 65-year-old male admitted for a small bowel obstruction who was incidentally found to have a left subclavian artery dissection on computed tomography angiogram (CTA) of the aorta. Non-traumatic subclavian artery dissection (SAD) is rare and only a few cases have been published in the literature. In this report, we review previously reported clinical presentations, subsequent treatments, and discuss factors that impact the choice between surgical vs conservative management.

Keywords: idiopathic sad; nontraumatic sad; sad; spontaneous sad; subclabian artery dissection.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography (CT) scan of the abdomen and pelvis showing a high grade small bowel obstruction with the small bowel lumen measuring up to 4.8 cm.
Figure 2
Figure 2. Electrocardiogram (ECG) displayed supraventricular tachycardia (SVT) with diffuse nonspecific ST depressions throughout.
Figure 3
Figure 3. Portable chest X-ray negative for free air.
Figure 4
Figure 4. Repeat electrocardiogram (ECG) demonstrating resolution of supraventricular tachycardia (SVT) and normalization of ST segments.
Figure 5
Figure 5. Tip of nasogastric tube malpositioned in the distal esophagus.
Figure 6
Figure 6. Left subclavian artery dissection (SAD) without involvement of the aorta or branch vessels on computed tomography angiogram (CTA) scan.
Figure 7
Figure 7. Chest X-ray confirming nasogastric tube within the stomach.
See this image and copyright information in PMC

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