Cargando…

A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection

A 59-year-old man with no prior neurological deficits developed a massive stroke during the repair of a double-barreled acute type A aortic dissection with major entry in the ascending aorta and an occluded brachiocephalic artery. As right cerebral ischemia was alleviated by the circle of Willis, th...

Descripción completa

Detalles Bibliográficos
Autores principales: Nemoto, Hiroko, Uchida, Keiji, Minami, Tomoyuki, Yasuda, Shota, Cho, Tomoki, Masuda, Munetaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202300/
https://www.ncbi.nlm.nih.gov/pubmed/34178353
http://dx.doi.org/10.1177/2050313X211025215
Descripción
Sumario:A 59-year-old man with no prior neurological deficits developed a massive stroke during the repair of a double-barreled acute type A aortic dissection with major entry in the ascending aorta and an occluded brachiocephalic artery. As right cerebral ischemia was alleviated by the circle of Willis, the patient was alert and conscious preoperatively. Nevertheless, the thrombus in the right carotid artery induced a severe postoperative right cerebral embolism. In conclusion, occlusion of the carotid artery is a risk factor of postoperative severe stroke, even in patients without neurological symptoms preoperatively.