Intraoperative thrombectomy for occluded carotid arteries in patients with acute aortic dissection: report of two cases

Surgery Today ◽  
2013 ◽  
Vol 44 (6) ◽  
pp. 1177-1179 ◽  
Author(s):  
Takashi Igarashi ◽  
Shoichi Takahashi ◽  
Shinya Takase ◽  
Hitoshi Yokoyama
Aorta ◽  
2017 ◽  
Vol 05 (02) ◽  
pp. 57-60
Author(s):  
Pierre Demondion ◽  
Dorian Verscheure ◽  
Pascal Leprince

AbstractAorto-cutaneous fistula and false aneurysm of the ascending aorta in patients who previously underwent Stanford Type A acute aortic dissection are rare and severe complications. Surgical correction remains a demanding challenge. In a case of false aneurysm rupture during redo sternotomy, selective cannulation of the right axillary and left carotid arteries allowed an efficient method of cerebral perfusion.


Author(s):  
Kenji Minatoya

The case report by Sicim et al. is the placement of extra-anatomical bypasses in bilateral common carotid arteries. The similar previous reports of the extra-anatomical bypass usually indicate unilateral bypass. Whether or not the Willis’ circle is incomplete is difficult to judge during emergency surgery, and the authors’ judgment seems to have been correct in the sense that it could maintain cerebral perfusion reliably and quickly. The direct perfusion and extraanatomical bypass of carotid artery is a reasonable strategy in patients with cerebral malperfusion.


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