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...

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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:
Case Report
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
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author Nemoto, Hiroko
Uchida, Keiji
Minami, Tomoyuki
Yasuda, Shota
Cho, Tomoki
Masuda, Munetaka
author_facet Nemoto, Hiroko
Uchida, Keiji
Minami, Tomoyuki
Yasuda, Shota
Cho, Tomoki
Masuda, Munetaka
author_sort Nemoto, Hiroko
collection PubMed
description 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.
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spelling pubmed-82023002021-06-24 A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection Nemoto, Hiroko Uchida, Keiji Minami, Tomoyuki Yasuda, Shota Cho, Tomoki Masuda, Munetaka SAGE Open Med Case Rep Case Report 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. SAGE Publications 2021-06-12 /pmc/articles/PMC8202300/ /pubmed/34178353 http://dx.doi.org/10.1177/2050313X211025215 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Nemoto, Hiroko
Uchida, Keiji
Minami, Tomoyuki
Yasuda, Shota
Cho, Tomoki
Masuda, Munetaka
A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
title A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
title_full A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
title_fullStr A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
title_full_unstemmed A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
title_short A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
title_sort massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202300/
https://www.ncbi.nlm.nih.gov/pubmed/34178353
http://dx.doi.org/10.1177/2050313X211025215
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