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Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection.
- Source :
-
Annals of vascular diseases [Ann Vasc Dis] 2019 Sep 25; Vol. 12 (3), pp. 385-387. - Publication Year :
- 2019
-
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.<br />Competing Interests: Disclosure StatementThe authors have no conflicts of interest to declare.<br /> (Copyright © 2019 Annals of Vascular Diseases.)
Details
- Language :
- English
- ISSN :
- 1881-641X
- Volume :
- 12
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Annals of vascular diseases
- Publication Type :
- Academic Journal
- Accession number :
- 31636751
- Full Text :
- https://doi.org/10.3400/avd.cr.19-00004