scholarly journals Carotid Artery Stenting for Bilateral Cerebral Malperfusion due to Carotid Dissection after Open Surgical Repair of Type A Aortic Dissection in Marfan Syndrome : A Case Report

2015 ◽  
Vol 24 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Makoto Hayase ◽  
Tao Yang ◽  
Masashi Oda ◽  
Takehiko Nakamura ◽  
Taketo Hatano
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Carotid Artery Stenting ◽  
Surgical Repair ◽  
Carotid Dissection ◽  
Open Surgical Repair ◽  
Type A Aortic Dissection ◽  
Cerebral Malperfusion

Type A aortic dissection: involvement of carotid artery and impact on cerebral malperfusion

2020 ◽  
pp. 021849232098432
Author(s):  
Wahaj Munir ◽  
Jun Heng Chong ◽  
Amer Harky ◽  
Mohamad Bashir ◽  
Benjamin Adams
Keyword(s):  
Carotid Artery ◽  
Aortic Dissection ◽  
Type A ◽  
Current Evidence ◽  
Management Approach ◽  
Complex Nature ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Cerebral Malperfusion ◽  
The Impact

Acute type A aortic dissection is a surgical emergency and management of such pathology can be complex with poor outcomes when there is organ malperfusion. Carotid artery involvement is present in 30% of patients diagnosed with acute type A aortic dissection, and given its emergency and complex nature, there is much controversy regarding the approach, extent of treatment, and timing of the intervention. It is clear that the occurrence of cerebral malperfusion adds an extra layer of complexity to the decision-making framework for treatment. Standardization and validation of the optimal management approach is required, and this should ideally be addressed with large-scale studies. Nonetheless, current literature supports the need for rapid recognition and diagnosis of acute type A aortic dissection with cerebral malperfusion, immediate and extensive surgical repair, and the appropriate use of cerebral perfusion techniques. This paper aims to discuss the current evidence regarding the impact of carotid artery involvement in both the management and outcomes of acute type A aortic dissection.

scholarly journals Results of Open Surgical Repair in Patients With Marfan Syndrome and Distal Aortic Dissection

2016 ◽  
Vol 101 (6) ◽  
pp. 2193-2201 ◽  
Author(s):  
Joseph S. Coselli ◽  
Susan Y. Green ◽  
Matt D. Price ◽  
Jonathan A. Hash ◽  
Yafei Ouyang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Surgical Repair ◽  
Open Surgical Repair

Ninety-Day Readmission After Open Surgical Repair of Stanford Type A Aortic Dissection

2021 ◽  
Author(s):  
Arsalan Amin ◽  
Ravi K. Ghanta ◽  
Qianzi Zhang ◽  
Rodrigo Zea-Vera ◽  
Todd K. Rosengart ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Surgical Repair ◽  
Type A ◽  
Open Surgical Repair ◽  
Type A Aortic Dissection

scholarly journals Aggressive strategy to save the brain in a case of acute aortic dissection

2021 ◽  
Author(s):  
Kenji Minatoya
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Aortic Dissection ◽  
Cerebral Perfusion ◽  
Carotid Arteries ◽  
Acute Aortic Dissection ◽  
Extraanatomical Bypass ◽  
Cerebral Malperfusion ◽  
Common Carotid Arteries ◽  
The Brain

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.

scholarly journals Management of cerebral malperfusion in surgical repair of acute type A aortic dissection

2017 ◽  
Vol 52 (2) ◽  
pp. 327-332 ◽  
Author(s):  
Tomokuni Furukawa ◽  
Naomichi Uchida ◽  
Shinya Takahashi ◽  
Yoshitaka Yamane ◽  
Shingo Mochizuki ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Surgical Repair ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Cerebral Malperfusion
Sign in / Sign up

Export Citation Format

Share Document