Left subclavian artery dissection: A mimicker of aortic dissection

Atere, Muhammed; Kalinga, Himanga; Alataby, Harith; Gala, Bhavesh

doi:10.4103/cmi.cmi_32_20

Cited by 1 publication

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“…The complications of subclavian artery dissection may include ischemic stroke, arm ischemia and subclavian steal syndrome [ 2 , 7 , 8 ]. As typical presentation is sudden onset of severe, ripping chest pain that can be very similar to aortic dissection; both of which can be life-threatening conditions but in different degrees [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions

Alloush

Marzouk³

et al. 2022

Egypt J Neurol Psychiatry Neurosurg

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Background Coronavirus disease 2019 (COVID-19) is a pandemic disease which predominantly affects the respiratory system with high critical care mortality and morbidity, yet it also causes multiple organs dysfunction in affected patients. There is a strong evidence that it increases the susceptibility of cerebrovascular strokes in such patients. Besides this prothrombotic complication, arterial dissection can be one of its mechanisms increasing the risks of stroke. Case presentation Herein, we report a case of spontaneous isolated subclavian artery dissection in a COVID-19 patient. Sixty-one-year-old female presented with spontaneous isolated subclavian artery dissection without any traumatic events nor history of connective tissue disorders. She had left upper limb ischemia followed by cerebellar, thalamic and occipital infarctions. Whether this patient’s subclavian artery dissection was triggered by exaggerated inflammatory response or arteriopathy secondary to COVID-19 remains speculative. Conclusions Nonetheless, arterial dissection can be one of its complications, it is essential for treating physicians to be attentive for the diversity of COVID-19 clinical manifestations.

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