title: Conservative management in a young woman affected by isolated left subclavian artery dissection.
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.
authors.affiliation: Division of Vascular Surgery, San Carlo Borromeo Hospital, Milan, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Catanese
authors.affiliation: Division of Vascular Surgery, San Carlo Borromeo Hospital, Milan, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Alberto Pegorer
authors.affiliation: Division of Vascular Surgery, San Carlo Borromeo Hospital, Milan, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Bissacco
authors.affiliation: Division of Vascular Surgery, San Carlo Borromeo Hospital, Milan, Italy.
authors.forename: Sara
authors.initials: S
authors.lastname: Di Gregorio
authors.affiliation: Division of Vascular Surgery, San Carlo Borromeo Hospital, Milan, Italy.
authors.forename: Raffaello
authors.initials: R
authors.lastname: Dallatana
authors.affiliation: Division of Vascular Surgery, San Carlo Borromeo Hospital, Milan, Italy ; Chair of Vascular Surgery, University of Milan, Milan, Italy.
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Settembrini
keywords: artery dissection; conservative management; subclavian artery