Urgent simultaneous revascularization of the carotid artery and ascending aortic replacement for type A acute aortic dissection with cerebral malperfusion

被引：7

作者：

Ueyama K. ^{[1
]}

Otaki K. ^{[1
]}

Koyama M. ^{[1
]}

Kamiyama H. ^{[2
]}

机构：

[1] Department of Cardiovascular Surgery, Asahikawa Red Cross Hospital, Asahikawa 070-8530

[2] Department of Neurosurgery, Asahikawa Red Cross Hospital, Asahikawa

来源：

General Thoracic and Cardiovascular Surgery | 2007年 / 55卷 / 7期

关键词：

Aortic dissection; Cerebral complications; Endarterectomy; Malperfusion;

D O I：

10.1007/s11748-007-0126-6

中图分类号：

学科分类号：

摘要：

We report a case of successful urgent surgical therapy for a Stanford type A acute aortic dissection with cerebral malperfusion. A woman with a sudden severe chest pain consulted the emergency department. Computed tomography results showed a Stanford type A acute aortic dissection. She had repeating left paralysis, so a cerebrovascular study was performed. It showed that the collateral left carotid and vertebral arteries perfused only the right cerebral hemisphere. Hence, it was thought that the left paralysis was caused by cerebral malperfusion due to the dissection. Simple aortic replacement endangered the right cerebral hemisphere, so we performed urgent revascularization of the right carotid artery, followed by an ascending aortic replacement procedure. © 2007 The Japanese Association for Thoracic Surgery.

引用

页码：284 / 286

页数：2

共 4 条

[1]

Tanaka H., Okada K., Yamashita T., Morimoto Y., Kawanishi Y., Okita Y., Surgical results of acute aortic dissection complicated with cerebral malperfusion, Ann Thorac Surg, 80, pp. 72-6, (2005)

[2]

Cambria R.C., Brewster D.C., Gertlet J., Moncure A.C., Gusberg R., Tilson D., Et al., Vascular complication associated with spontaneous aortic dissection, J Vasc Surg, 7, pp. 199-209, (1988)

[3]

Carrel T., Laske A., Jenny B., Von Segesser L., Turina M., Neurological complications associated with acute aortic dissection: Is there a place for a surgical approach?, Cerebrovasc Dis, 1, pp. 296-301, (1991)

[4]

Fann J.I., Sarris G.E., Miller D.C., Mitchell R.S., Oyer P.E., Stinson E.B., Et al., Surgical management of acute aortic dissection complicated by stroke, Circulation, 80, pp. 257-63, (1989)

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