학술논문

Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
Document Type
report
Source
Brazilian Journal of Cardiovascular Surgery. June 2020 35(3)
Subject
Aneurysm
Dissecting
Carotid Arteries
Carotid Artery Diseases
Stents
Thrombosis
Cerebrovascular Circulation
Computed Tomography Angiography
Language
English
ISSN
0102-7638
Abstract
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.