Abstract
Postoperative common carotid artery occlusion after reconstruction for type A aortic dissection can lead to major neurological morbidity. Surgical strategy to re-establish the cerebral perfusion depends on the time of onset of neurological deficits in this otherwise life-threatening disease. We present two cases with neurological deficits after replacement of the ascending aorta for a type A dissection treated with two different surgical strategies. In both cases, prompt surgical interventions improved neurological outcome.
MeSH terms
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Angiography
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / surgery*
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Blood Vessel Prosthesis Implantation
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Carotid Artery, Common* / surgery
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Carotid Artery, Internal, Dissection / diagnosis*
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Carotid Artery, Internal, Dissection / surgery
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Carotid Stenosis / diagnosis*
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Carotid Stenosis / surgery
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Cerebral Revascularization
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Coronary Artery Bypass
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Endarterectomy, Carotid
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Follow-Up Studies
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Humans
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Male
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Middle Aged
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Neurologic Examination
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Postoperative Complications / diagnosis*
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Postoperative Complications / surgery
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Reoperation
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Tomography, X-Ray Computed
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Ultrasonography, Doppler, Color
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Ultrasonography, Doppler, Duplex