Ischemic Stroke Caused by Carotid Stump at the Common Carotid Artery

An 84-year-old man developed motor aphasia and right hemiparesis on postoperative day 1 after orchiectomy for suspected malignant lymphoma. He had a history of thoracic endovascular aortic repair for aortic aneurysm using a bypass graft from the right subclavian artery to the left common carotid art...

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Detalles Bibliográficos
Autores principales: Hashimoto, Go, Wada, Shinichi, Morita, Takao, Tomohara, Saori, Hara, Kenta, Kumabe, Mitsuru, Matsushima, Takumi, Kadowaki, Masanori, Hamaguchi, Masumitsu, Kuwashiro, Takahiro, Yasaka, Masahiro, Okada, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759691/
https://www.ncbi.nlm.nih.gov/pubmed/32727984
http://dx.doi.org/10.2169/internalmedicine.5021-20
Descripción
Sumario:An 84-year-old man developed motor aphasia and right hemiparesis on postoperative day 1 after orchiectomy for suspected malignant lymphoma. He had a history of thoracic endovascular aortic repair for aortic aneurysm using a bypass graft from the right subclavian artery to the left common carotid artery (CCA); however, the graft had become occluded six months later. Brain magnetic resonance imaging revealed acute cerebral infarctions in the left frontal lobe. Carotid ultrasonography revealed a stump at the left CCA, just below the bifurcation, formed by the occluded graft with an oscillating thrombus. This case was rare in that a CCA stump was identified as the embolic source of ischemic stroke.

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