Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection

Brazilian Journal of Cardiovascular Surgery

卷:35

关键词: aneurysm;    dissecting;    carotid arteries;    carotid artery diseases;    stents;    thrombosis;    cerebrovascular circulation;    computed tomography angiography;   

DOI  :  10.21470/1678-9741-2019-0336

来源: DOAJ

【 摘 要 】

Abstract Total arch replacement and stent trunk were performed for two patients. One of these underwent a total bilateral carotid artery replacement in anatomical position while the other underwent partial carotid artery dissection. The first patient demonstrated no neurological complication after surgery and a postoperative computed tomography angiography (CTA) showed bilateral common carotid artery patency. However, the second patient had neurological dysfunction after surgery, while a postoperative CTA showed occlusion of the left common carotid artery. Anatomical replacement for a common carotid artery dissection with thrombus has the potential to significantly improve cerebral perfusion and reduce postoperative neurological complications.

【 授权许可】

Unknown