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When the Conception of Symmetry Deceives Us: A Case Report on the Perioperative Diagnosis of Subclavian Artery Stenosis

2023-11Journal article Open access
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dc.contributor.authorAdams, Mariana
dc.contributor.authorSousa, Cristina P
dc.contributor.authorDuarte, Sónia
dc.contributor.authorMachado, Humberto
dc.date.accessioned2024-06-17T10:53:54Z
dc.date.available2024-06-17T10:53:54Z
dc.date.issued2023-11
dc.description.abstractSubclavian artery stenosis is a relatively uncommon manifestation of peripheral artery disease with significant morbidity. We describe a case of left subclavian artery stenosis that became apparent in the intraoperative setting, in a patient who presented for emergency surgery after a fall and subsequent left femoral neck fracture. Initial non-invasive blood pressure readings on the left upper extremity were in the normal range but after placement of the arterial line on the right upper extremity, the discrepancy was evident pointing towards a structural abnormality as the causative factor. CT angiography was found to confirm the diagnosis of left subclavian artery stenosis of an atherosclerotic nature. A thorough physical examination can point to the presence of subclavian stenosis through pulse amplitude and blood pressure asymmetries. This study highlights the importance of obtaining blood pressure readings ideally on all four limbs to avoid misinterpretation of blood pressure values that could ultimately lead to the use of unnecessary and inadequate interventions and possible complications in the perioperative setting.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAdams M, Sousa CP, Duarte S, Machado H. When the Conception of Symmetry Deceives Us: A Case Report on the Perioperative Diagnosis of Subclavian Artery Stenosis. Cureus. 2023;15(11):e48699. doi:10.7759/cureus.48699pt_PT
dc.identifier.doi10.7759/cureus.48699pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2917
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://www.cureus.com/articles/197657-when-the-conception-of-symmetry-deceives-us-a-case-report-on-the-perioperative-diagnosis-of-subclavian-artery-stenosis#!/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectanesthesiapt_PT
dc.subjectblood pressurept_PT
dc.subjectphysical examinationpt_PT
dc.subjectpulsept_PT
dc.subjectstenosispt_PT
dc.titleWhen the Conception of Symmetry Deceives Us: A Case Report on the Perioperative Diagnosis of Subclavian Artery Stenosispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPagee48699pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
person.familyNameDa Silva Machado
person.givenNameHumberto José
person.identifier.ciencia-id101D-4C67-9D8A
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication24b49fb4-82a3-4fcd-ade3-2fa53cbed5e0
relation.isAuthorOfPublication.latestForDiscovery24b49fb4-82a3-4fcd-ade3-2fa53cbed5e0

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