Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection

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 af...

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Autores principales: Hiranuma, Wakiko, Shimizu, Takuya, Takeda, Miki, Matsuoka, Takayuki, Minakawa, Tadanori, Miura, Makoto, Hayashi, Toshiaki, Sasaki, Tatsuya, Kawamoto, Shunsuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766774/
https://www.ncbi.nlm.nih.gov/pubmed/31636751
http://dx.doi.org/10.3400/avd.cr.19-00004
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author Hiranuma, Wakiko
Shimizu, Takuya
Takeda, Miki
Matsuoka, Takayuki
Minakawa, Tadanori
Miura, Makoto
Hayashi, Toshiaki
Sasaki, Tatsuya
Kawamoto, Shunsuke
author_facet Hiranuma, Wakiko
Shimizu, Takuya
Takeda, Miki
Matsuoka, Takayuki
Minakawa, Tadanori
Miura, Makoto
Hayashi, Toshiaki
Sasaki, Tatsuya
Kawamoto, Shunsuke
author_sort Hiranuma, Wakiko
collection PubMed
description 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.
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spelling pubmed-67667742019-10-21 Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection Hiranuma, Wakiko Shimizu, Takuya Takeda, Miki Matsuoka, Takayuki Minakawa, Tadanori Miura, Makoto Hayashi, Toshiaki Sasaki, Tatsuya Kawamoto, Shunsuke Ann Vasc Dis Case Report 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. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-09-25 /pmc/articles/PMC6766774/ /pubmed/31636751 http://dx.doi.org/10.3400/avd.cr.19-00004 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Hiranuma, Wakiko
Shimizu, Takuya
Takeda, Miki
Matsuoka, Takayuki
Minakawa, Tadanori
Miura, Makoto
Hayashi, Toshiaki
Sasaki, Tatsuya
Kawamoto, Shunsuke
Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
title Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
title_full Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
title_fullStr Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
title_full_unstemmed Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
title_short Left Subclavian-Bilateral External Carotid Artery Bypass for Symptomatic Carotid Artery Dissection Secondary to Open Repair of Type A Aortic Dissection
title_sort left subclavian-bilateral external carotid artery bypass for symptomatic carotid artery dissection secondary to open repair of type a aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766774/
https://www.ncbi.nlm.nih.gov/pubmed/31636751
http://dx.doi.org/10.3400/avd.cr.19-00004
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