Journal article
A Case of Bilateral Subclavian Artery Stenosis Presenting as Refractory Hypotension
Annals of Internal Medicine: Clinical Cases, Vol.2(1), e220785
01/01/2023
DOI: 10.7326/aimcc.2022.0785
Abstract
A 72-year-old woman presented with epigastric pain, hypotension, and tachycardia. Laboratory studies revealed anemia and lactic acidosis. Endoscopy showed gastric cancer without active bleeding. Although the tachycardia and lactic acidosis resolved shortly after a blood transfusion, her blood pressure (BP) remained low. BP measured in both her upper and lower extremities confirmed a discrepancy. Computed tomography revealed findings suggestive of bilateral subclavian artery stenosis. Bilateral subclavian artery stenosis should be suspected in a patient who presents with prolonged unexplained asymptomatic low BP measured in both upper extremities, noting the importance of also measuring the BP in all extremities.
Details
- Title: Subtitle
- A Case of Bilateral Subclavian Artery Stenosis Presenting as Refractory Hypotension
- Creators
- Taisuke Shibata - Kameda Medical CenterKohei Ukai - Kameda Medical CenterTakaaki Kobayashi - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IowaSandra Moody - University of California, San FranciscoAkihito Yoshida - Kameda Medical CenterTadashi Eguchi - Kameda Medical Center
- Resource Type
- Journal article
- Publication Details
- Annals of Internal Medicine: Clinical Cases, Vol.2(1), e220785
- DOI
- 10.7326/aimcc.2022.0785
- ISSN
- 2767-7672
- eISSN
- 2767-7664
- Language
- English
- Date published
- 01/01/2023
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984362286402771
Metrics
34 Record Views