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

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 s...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2020
Main Authors: Ren, Wei, Shi, Feng, Wang, Zhiwei, Wang, Jiahui, Chang, Jinxing
Format: Article
Language:Portuguese
Subjects:
CARDIAC & CARDIOVASCULAR SYSTEMS
SURGERY
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Summary: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.
ISSN:1678-9741
DOI:10.21470/1678-9741-2019-0336