Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
Year: 2019
Type: article
Study design: Case Report
Abstract: Symptomatic carotid dissection, secondary to surgical repair of Stanford type A acute aortic dissection (AAD), requires prompt intervention. A 56-year-old man who underwent total arch replacement with frozen elephant trunk for AAD presented with left hemiplegia and unilateral spatial neglect 16 h after the surgery. Cerebral computed tomography (CT) revealed no fresh lesions, and CT angiography showed severe bilateral carotid dissection. The patient's neurological symptoms improved soon after left subclavian-bilateral external carotid artery bypass to correct symptomatic severe right cerebral ischemia. Therefore, this technique can be a good option for symptomatic carotid dissection in selected patients.
Source: Annals of Vascular Diseases
Authors: Wakiko Hiranuma, Takuya Shimizu, Miki Takeda, Takayuki Matsuoka, Tadanori Minakawa, Makoto Miura, Toshiaki Hayashi, Tatsuya Sasaki, Shunsuke Kawamoto
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $226
OpenAlex ID: W2947281136