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      Subclavian Artery Dissection Presenting as Non-ST Elevation Myocardial Infarction

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          Abstract

          Spontaneous subclavian artery dissection is rarely reported. We report the case of a 55-year-old female who presented as an non-ST elevation myocardial infarction (NSTEMI) and was found to have a proximal left subclavian dissection. We provide an overview of current articles addressing the clinical features and treatments of subclavian dissection. To our knowledge, this is the first report of subclavian dissection presenting as an NSTEMI.

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          Most cited references 2

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          Spontaneous subclavian artery dissection causing ischemia of the arm: diagnosis and endovascular management.

          Spontaneous subclavian artery dissections are rare, with very few cases described in the literature. We report an unusual case of a 62-year-old female who presented with ischemia of the left arm secondary to spontaneous dissection of the first part of the left subclavian artery. We describe the imaging findings on both aortic arch angiogram and CT angiogram and discuss management by endovascular means.
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            Subclavian Artery Dissection and Triple Infarction of the Nervous System

            Subclavian artery dissection is a rare entity. It is usually associated with anomalous aortic vasculature. Only with trauma or catheterization procedures is subclavian artery dissection with normal aortic vasculature reported.
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              Author and article information

              Journal
              CRD
              Cardiology
              10.1159/issn.0008-6312
              Cardiology
              S. Karger AG
              0008-6312
              1421-9751
              2014
              June 2014
              28 May 2014
              : 128
              : 3
              : 282-284
              Affiliations
              University of Florida College of Medicine, Jacksonville, Fla., USA
              Author notes
              *Doug B. Chapman, MD, 5th Floor, Ambulatory Care Center, 655 West 8th Street, C35, Jacksonville, FL 32209 (USA), E-Mail Doug.chapman@jax.ufl.edu
              Article
              360574 Cardiology 2014;128:282-284
              10.1159/000360574
              24903393
              © 2014 S. Karger AG, Basel

              Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

              Page count
              Figures: 5, Pages: 3
              Categories
              Novel Insights from Clinical Experience

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