{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:15:27Z","timestamp":1740147327133,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Acute DeBakey type\u00a0I and type\u00a0II aortic dissections are indications for emergent surgical repair; however, there are currently no standard protocols in the management of isolated supra-aortic dissections. Prompt diagnosis and management of an isolated innominate artery dissection are necessary to prevent distal malperfusion and thromboembolic sequelae.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 50-year-old Caucasian gentleman presented with chest pain radiating to his jaw and right arm. He had no recent history of trauma. On physical exam, he was neurologically intact and malignantly hypertensive. Computed tomographic angiography of the chest and neck confirmed a spontaneous isolated innominate artery dissection without ascending aorta involvement. Given the lack of evidence for rupture, distal emboli, and\/or end-organ malperfusion, the decision was made for initial non-operative management\u2014anti-impulse regimen, antiplatelet therapy, and close follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Medical management of a spontaneous isolated innominate artery dissection is appropriate for short-term and potentially long-term therapy. This not only spares the patient from a potentially unnecessary surgical operation but also provides the surgeon and the patient the time to plan for a surgical approach if it becomes necessary.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02886-3","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:05:05Z","timestamp":1622592305000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of a spontaneous supra-aortic arterial dissection: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Omar M.","family":"Sharaf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomas D.","family":"Martin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3824-9958","authenticated-orcid":false,"given":"Eric I.","family":"Jeng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"issue":"4","key":"2886_CR1","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1016\/j.nic.2013.03.013","volume":"23","author":"RJ Rahme","year":"2013","unstructured":"Rahme RJ, Aoun SG, McClendon J, El Ahmadieh TY, Bendok BR. Spontaneous cervical and cerebral arterial dissections: diagnosis and management. Neuroimaging Clin N Am. 2013;23(4):661\u201371. https:\/\/doi.org\/10.1016\/j.nic.2013.03.013.","journal-title":"Neuroimaging Clin N Am"},{"key":"2886_CR2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-208815","author":"H Mani","year":"2015","unstructured":"Mani H, Ahluwalia S. Isolated brachiocephalic artery dissection presenting as acute stroke. BMJ Case Rep. 2015. https:\/\/doi.org\/10.1136\/bcr-2014-208815.","journal-title":"BMJ Case Rep"},{"issue":"3","key":"2886_CR3","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1093\/neuros\/nyw086","volume":"80","author":"B Daou","year":"2017","unstructured":"Daou B, Hammer C, Mouchtouris N, et al. Anticoagulation vs antiplatelet treatment in patients with carotid and vertebral artery dissection: a study of 370 patients and literature review. Neurosurgery. 2017;80(3):368\u201379. https:\/\/doi.org\/10.1093\/neuros\/nyw086.","journal-title":"Neurosurgery"},{"issue":"5","key":"2886_CR4","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1161\/01.CIR.0000087009.16755.E4","volume":"108","author":"CA Nienaber","year":"2003","unstructured":"Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management: part I: from etiology to diagnostic strategies. Circulation. 2003;108(5):628\u201335. https:\/\/doi.org\/10.1161\/01.CIR.0000087009.16755.E4.","journal-title":"Circulation"},{"issue":"2","key":"2886_CR5","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1067\/mva.2001.115807","volume":"34","author":"E Kieffer","year":"2001","unstructured":"Kieffer E, Chiche L, Koskas F, Bahnini A. Aneurysms of the innominate artery: surgical treatment of 27 patients. J Vasc Surg. 2001;34(2):222\u20138. https:\/\/doi.org\/10.1067\/mva.2001.115807.","journal-title":"J Vasc Surg"},{"issue":"3","key":"2886_CR6","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1007\/s11748-007-0205-8","volume":"56","author":"H Munakata","year":"2008","unstructured":"Munakata H, Okada K, Tanaka H, Yamashita T, Nakagiri K, Okita Y. Acute dissection of the innominate artery: a case of report. Gen Thorac Cardiovasc Surg. 2008;56(3):131\u20133. https:\/\/doi.org\/10.1007\/s11748-007-0205-8.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"10","key":"2886_CR7","doi-asserted-by":"publisher","first-page":"815","DOI":"10.2459\/JCM.0b013e32832d2f31","volume":"10","author":"S Lampropoulos","year":"2009","unstructured":"Lampropoulos S, Theofilogiannakos EK, Gkontopoulos A, et al. Syncope and cardiovocal syndrome as the result of a spontaneous innominate artery dissection. J Cardiovasc Med (Hagerstown). 2009;10(10):815\u20137. https:\/\/doi.org\/10.2459\/JCM.0b013e32832d2f31.","journal-title":"J Cardiovasc Med (Hagerstown)"},{"issue":"11","key":"2886_CR8","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1111\/jocs.13229","volume":"32","author":"T Nagata","year":"2017","unstructured":"Nagata T, Johno H, Wang Y, Asanuma M. Isolated innominate artery dissection. J Card Surg. 2017;32(11):710\u20131. https:\/\/doi.org\/10.1111\/jocs.13229.","journal-title":"J Card Surg"},{"issue":"2","key":"2886_CR9","doi-asserted-by":"publisher","first-page":"e97","DOI":"10.1016\/j.athoracsur.2018.06.047","volume":"107","author":"L Seese","year":"2019","unstructured":"Seese L, Kilic A, Navid F, Gleason TG, Sultan I. Nonoperative management of brachiocephalic artery dissection. Ann Thorac Surg. 2019;107(2):e97\u20139. https:\/\/doi.org\/10.1016\/j.athoracsur.2018.06.047.","journal-title":"Ann Thorac Surg"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02886-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-02886-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02886-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:17:39Z","timestamp":1622593059000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02886-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,2]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2886"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02886-3","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2021,6,2]]},"assertion":[{"value":"10 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"We have an institutional review board approval allowing the retrospective review of cardiovascular surgery patients that we evaluate.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"283"}}