Article citationsMore>>
Srinivasan, A., Olowofela, A., Rothstein, A., Brown, K.R., Malinowski, M.J., Hart, J.P., et al. (2022) A Single Center 8 Year Experience of Segmental Arterial Mediolysis Management. Annals of Vascular Surgery, 81, 273-282.
https://doi.org/10.1016/j.avsg.2021.09.045
has been cited by the following article:
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TITLE:
Segmental Arterial Mediolysis in a Patient with Respiratory Syncytial Virus
AUTHORS:
Angela A. Cao, Eva Elder, Daniel Girgis, Allen Bergstedt, Courtney Burnett
KEYWORDS:
Segmental Arterial Mediolysis, Arterial Thrombosis, Anticoagulation, Dissection, RSV Complications
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.14 No.8,
August
18,
2025
ABSTRACT: We report a case of segmental arterial mediolysis (SAM) in a 45-year-old man with respiratory syncytial virus (RSV). He presented with acute abdominal pain following a week of forceful coughing. Blood tests showed elevated inflammatory markers. CT angiography revealed arterial thrombi and a splenic infarct. Hypercoagulable studies were unrevealing and inconsistent with vasculitis or thrombophilia. The patient was diagnosed with SAM and started on apixaban, and a repeat CT showed improvement of arterial flow after one month. This case highlights a potential link between viral cough and the development of SAM and highlights the use of anticoagulation in treatment.