title: Conservative Treatment of Spontaneous Dissection of the Subclavian Artery.
abstract: Dissection of the subclavian artery usually occurs as a result of trauma, endovascular interventions or connective tissue disorders. Only rarely has it been described occurring spontaneously. The treatment can be endovascular, open surgery, conservative or a combination of the above. There are no guidelines. The best approach is the one tailored to the lesion itself. This case presents a 73-year-old man with a tiresome and heavy feeling in the right arm. He was diagnosed having a spontaneous dissection of the right subclavian artery, accompanied by a complete occlusion more distally. Because of the relatively minor symptoms he was treated conservatively using anticoagulants. After 6 months of treatment there was complete revascularisation with good pulsations at the right wrist.
authors.affiliation: a Department of General Surgery, Onze-Lieve-Vrouw van Lourdes Hospital , Waregem , Belgium.
authors.forename: P
authors.initials: P
authors.lastname: De Bruyne
authors.affiliation: a Department of General Surgery, Onze-Lieve-Vrouw van Lourdes Hospital , Waregem , Belgium.
authors.forename: H
authors.initials: H
authors.lastname: Maes
authors.affiliation: a Department of General Surgery, Onze-Lieve-Vrouw van Lourdes Hospital , Waregem , Belgium.
authors.forename: L
authors.initials: L
authors.lastname: Haeck
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000188:drug therapy*; D000072226:Computed Tomography Angiography / Q000379:methods; D000072700:Conservative Treatment / Q000379:methods*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D013348:Subclavian Artery; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D014859:Warfarin