Subclavian Artery Dissection Induced TIA Due to Hypertensive Emergency
79y.o. male with PMH of HTN, DM, 20 year smoking history and bilateral LE peripheral vascular disease presented to the ICU after a scheduled right common femoral endarterectomy and right femoral-popliteal bypass for severe stenosis and occlusion of the superficial femoral and popliteal arteries. During his stay, the patient experienced a hypertensive emergency and stroke like symptoms, with evidence on formal U/S of a left sided subclavian artery dissection. This case discussion will focus on the diagnosis and management of TIAs and hypertensive emergencies, and their relation to head and neck arterial dissections.
Aiello A, Farhy E, Haddad M, Soto RG. Subclavian artery dissection induced TIA due to hypertensive emergency. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.