Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report

A 69-year-old woman presented with acute type A aortic dissection complicated by extensive hemorrhagic cerebral infarction due to brain malperfusion. Emergency decompressive craniectomy was initially performed, with an initial diagnosis of hemorrhagic cerebral infarction. The patient was referred fo...

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Autores principales: Kano, Masaki, Iwahori, Akinari, Ogino, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9485363/
https://www.ncbi.nlm.nih.gov/pubmed/36121572
http://dx.doi.org/10.1186/s40792-022-01526-2
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author Kano, Masaki
Iwahori, Akinari
Ogino, Hitoshi
author_facet Kano, Masaki
Iwahori, Akinari
Ogino, Hitoshi
author_sort Kano, Masaki
collection PubMed
description A 69-year-old woman presented with acute type A aortic dissection complicated by extensive hemorrhagic cerebral infarction due to brain malperfusion. Emergency decompressive craniectomy was initially performed, with an initial diagnosis of hemorrhagic cerebral infarction. The patient was referred for surgical management following a diagnosis of acute type A aortic dissection. After stabilizing the neurological condition with medical treatment for nine weeks, hemiarch replacement was performed electively. The postoperative course was uneventful, with no new neurological disorders. Subsequently, she recovered sufficiently to have daily conversations and attend hospital appointments using a wheelchair.
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spelling pubmed-94853632022-10-21 Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report Kano, Masaki Iwahori, Akinari Ogino, Hitoshi Surg Case Rep Case Report A 69-year-old woman presented with acute type A aortic dissection complicated by extensive hemorrhagic cerebral infarction due to brain malperfusion. Emergency decompressive craniectomy was initially performed, with an initial diagnosis of hemorrhagic cerebral infarction. The patient was referred for surgical management following a diagnosis of acute type A aortic dissection. After stabilizing the neurological condition with medical treatment for nine weeks, hemiarch replacement was performed electively. The postoperative course was uneventful, with no new neurological disorders. Subsequently, she recovered sufficiently to have daily conversations and attend hospital appointments using a wheelchair. Springer Berlin Heidelberg 2022-09-19 /pmc/articles/PMC9485363/ /pubmed/36121572 http://dx.doi.org/10.1186/s40792-022-01526-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Kano, Masaki
Iwahori, Akinari
Ogino, Hitoshi
Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
title Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
title_full Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
title_fullStr Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
title_full_unstemmed Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
title_short Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
title_sort aortic repair following initial decompressive craniectomy for acute type a aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9485363/
https://www.ncbi.nlm.nih.gov/pubmed/36121572
http://dx.doi.org/10.1186/s40792-022-01526-2
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AT iwahoriakinari aorticrepairfollowinginitialdecompressivecraniectomyforacutetypeaaorticdissectioncomplicatedwithextensivehemorrhagiccerebralinfarctionacasereport
AT oginohitoshi aorticrepairfollowinginitialdecompressivecraniectomyforacutetypeaaorticdissectioncomplicatedwithextensivehemorrhagiccerebralinfarctionacasereport

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