Abstract
Symptomatic acute carotid occlusion demands treatment, but the exact treatment to be provided in the case of acute occlusion of 3 supra-aortic vessels is not well established. Herein, we describe the successful emergency hybrid management of a massive thromboembolic occlusion of the right subclavian artery, common carotid artery, and innominate trunk, associated with left arm hemiparesis, motor aphasia, and confusion, and extensive pulmonary embolism. The diagnostic work-up and the hybrid surgical strategy adopted are described. Neurologic symptoms had completely regressed at discharge and the patient was free of any complications at the 3-month follow-up.
Copyright © 2014 Elsevier Inc. All rights reserved.
MeSH terms
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Aged, 80 and over
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Arterial Occlusive Diseases / diagnosis
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Arterial Occlusive Diseases / physiopathology
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Arterial Occlusive Diseases / surgery*
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Brachiocephalic Trunk / diagnostic imaging
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Brachiocephalic Trunk / physiopathology
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Brachiocephalic Trunk / surgery*
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Carotid Artery, Common / diagnostic imaging
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Carotid Artery, Common / physiopathology
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Carotid Artery, Common / surgery*
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Carotid Stenosis / diagnosis
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Carotid Stenosis / physiopathology
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Carotid Stenosis / surgery*
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Embolectomy*
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Endovascular Procedures*
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Humans
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Male
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Pulmonary Embolism / diagnosis
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Pulmonary Embolism / physiopathology
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Pulmonary Embolism / surgery*
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Radiography
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / physiopathology
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Subclavian Artery / surgery*
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Thrombectomy*
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Thromboembolism / diagnosis
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Thromboembolism / physiopathology
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Thromboembolism / surgery*
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Treatment Outcome
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Vascular Patency