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

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 an...

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Autores principales: Ren, Wei, Shi, Feng, Wang, Zhiwei, Wang, Jiahui, Chang, Jinxing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299599/
https://www.ncbi.nlm.nih.gov/pubmed/32549110
http://dx.doi.org/10.21470/1678-9741-2019-0336
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author Ren, Wei
Shi, Feng
Wang, Zhiwei
Wang, Jiahui
Chang, Jinxing
author_facet Ren, Wei
Shi, Feng
Wang, Zhiwei
Wang, Jiahui
Chang, Jinxing
author_sort Ren, Wei
collection PubMed
description 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.
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spelling pubmed-72995992020-06-22 Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection Ren, Wei Shi, Feng Wang, Zhiwei Wang, Jiahui Chang, Jinxing Braz J Cardiovasc Surg How I Do It 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. Sociedade Brasileira de Cirurgia Cardiovascular 2020 /pmc/articles/PMC7299599/ /pubmed/32549110 http://dx.doi.org/10.21470/1678-9741-2019-0336 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle How I Do It
Ren, Wei
Shi, Feng
Wang, Zhiwei
Wang, Jiahui
Chang, Jinxing
Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
title Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
title_full Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
title_fullStr Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
title_full_unstemmed Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
title_short Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
title_sort two cases treated by different strategies for common carotid artery dissection with thrombosis due to a type a aortic dissection
topic How I Do It
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299599/
https://www.ncbi.nlm.nih.gov/pubmed/32549110
http://dx.doi.org/10.21470/1678-9741-2019-0336
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