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Idiopathic Left Subclavian Artery Dissection.

Samantha Williams1, Ana Pagan Jaramillo1, Marie-Louise Posch1

  • 1Internal Medicine, HCA Healthcare/University of South Florida Morsani College of Medicine, GME Citrus Memorial Hospital, Inverness, USA.

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|January 25, 2021
PubMed
Summary
This summary is machine-generated.

A rare case of non-traumatic left subclavian artery dissection was incidentally discovered in a patient with small bowel obstruction. This report reviews clinical presentations and management options for this uncommon vascular condition.

Keywords:
idiopathic sadnontraumatic sadsadspontaneous sadsubclabian artery dissection

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Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Non-traumatic subclavian artery dissection (SAD) is a rare vascular condition.
  • Few clinical cases have been documented in medical literature.
  • Early diagnosis and appropriate management are crucial for patient outcomes.

Observation:

  • A 65-year-old male presented with small bowel obstruction.
  • Computed tomography angiography (CTA) incidentally revealed a left subclavian artery dissection.
  • The dissection was not associated with trauma.

Findings:

  • Subclavian artery dissection is an uncommon finding, particularly when incidental.
  • Clinical presentations of SAD can vary, necessitating thorough diagnostic evaluation.
  • Treatment decisions involve balancing risks and benefits of surgical versus conservative approaches.

Implications:

  • This case highlights the importance of considering vascular abnormalities during abdominal imaging.
  • Understanding the rarity and presentation of SAD aids in clinical diagnosis.
  • Reviewing management strategies can guide therapeutic decisions for similar rare vascular events.