Subclavian artery dissection during diagnostic cardiac catheterization: the role of conservative management.
Dissection of the subclavian artery during routine cardiac catheterization while obtaining cannulation to the left internal mammary artery is an unusual complication and to our knowledge has never been reported. Conservative management of this vascular injury can avoid the sequelae of high-risk surgical repairs made difficult by a complex operative exposure. We describe a case in which dissection of the left subclavian artery was treated conservatively with an excellent outcome.
Frohwein
S
S
Cardiology Division, Emory University School of Medicine, Atlanta, Georgia, USA.
Ververis
J J
JJ
Marshall
J J
JJ
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D001132:Arm / Q000098:blood supply; D006328:Cardiac Catheterization / Q000295:instrumentation*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006439:Hemodynamics / Q000187:drug effects / Q000502:physiology; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D009204:Myocardial Revascularization; D009599:Nitroprusside / Q000008:administration & dosage; D010348:Patient Care Team; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries*
D009599:Nitroprusside; D006493:Heparin