Brazilian Journal of Cardiovascular Surgery ()

Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection

  • Wei Ren,
  • Feng Shi,
  • Zhiwei Wang,
  • Jiahui Wang,
  • Jinxing Chang

DOI
https://doi.org/10.21470/1678-9741-2019-0336
Journal volume & issue
Vol. 35, no. 3
pp. 387 – 391

Abstract

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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.

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