Localized Right Subclavian Artery Dissection Detected by Accident on an Ultrasound Examination: A Case Report and Literature Review

Hidenori Onishi; Osamu Yamamura; Seiya Matsuo; Tokuharu Tanaka; Satoshi Daitoku; Shizuka Konokawa; Hiromasa Tsubouchi; Hiroshi Chiba; Maiko Sone; Bunji Kaku; Souichi Enomoto; Tami Yamamoto; Youichirou Hashimoto; Tadanori Hamano; Hiroyuki Hayashi; Hidekazu Terasawa

doi:10.2169/internalmedicine.1451-18

CASE REPORTS

Localized Right Subclavian Artery Dissection Detected by Accident on an Ultrasound Examination: A Case Report and Literature Review

Hidenori Onishi, Osamu Yamamura, Seiya Matsuo, Tokuharu Tanaka, Satoshi Daitoku, Shizuka Konokawa, Hiromasa Tsubouchi, Hiroshi Chiba, Maiko Sone, Bunji Kaku, Souichi Enomoto, Tami Yamamoto, Youichirou Hashimoto, Tadanori Hamano, Hiroyuki Hayashi, Hidekazu Terasawa

Author information

Hidenori Onishi
Department of Medical Technology, Kitasato Junior College of Health and Hygienic Sciences, Japan
Second Department of Internal Medicine, Faculty of Medical Science, University of Fukui Hospital, Japan
Osamu Yamamura
Second Department of Internal Medicine, Faculty of Medical Science, University of Fukui, Japan
Department of Community Medicine, University of Fukui, Japan
Seiya Matsuo
Department of Emergency, University of Fukui, Japan
Tokuharu Tanaka
Department of Internal Medicine, Sugita Genpaku Memorial Obama Municipal Hospital, Japan
Satoshi Daitoku
Department of Radiological Technology, Faculty of Medical Technology, Niigata University of Health and Welfare, Japan
Shizuka Konokawa
Department of Clinical Laboratory, Toyama City Hospital, Japan
Hiromasa Tsubouchi
Department of Radiotechnology, Fukui Ken Saiseikai Hospital, Japan
Hiroshi Chiba
Division of Clinical Laboratory, Morioka Municipal Hospital, Japan
Maiko Sone
Department of Cardiology, Saiseikai Kurihashi Hospital, Japan
Bunji Kaku
Department of Cardiology, Toyama Red Cross Hospital, Japan
Souichi Enomoto
Second Department of Internal Medicine, Faculty of Medical Science, University of Fukui Hospital, Japan
Tami Yamamoto
Department of Clinical Laboratory, Saiseikai Kumamoto Hospital, Japan
Youichirou Hashimoto
Department of Neurology, Kumamoto City Hospital, Japan
Tadanori Hamano
Second Department of Internal Medicine, Faculty of Medical Science, University of Fukui Hospital, Japan
Hiroyuki Hayashi
Second Department of Internal Medicine, Faculty of Medical Science, University of Fukui Hospital, Japan
Hidekazu Terasawa
Department of Community Medicine, University of Fukui, Japan

Keywords: localized right subclavian artery dissection, carotid artery ultrasound examination, Kumamoto earthquake

JOURNAL OPEN ACCESS
Supplementary material

2019 Volume 58 Issue 1 Pages 73-78

DOI https://doi.org/10.2169/internalmedicine.1451-18

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Details

Abstract

Right subclavian artery dissection was detected in a 78-year-old female victim of the Kumamoto earthquake during a carotid artery ultrasound examination. She was subsequently taken to hospital and diagnosed with localized subclavian artery dissection (LSAD) by contrast-enhanced computed tomography. There have been no previous reports of LSAD detected at a medical checkup. LSAD may progress and become severe, even in asymptomatic patients or patients with mild symptoms, and careful long-term follow-up is therefore required in all patients diagnosed with LSAD.

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