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BMJ Case Reports 2012; doi:10.1136/bcr-2012-006902
  • Reminder of important clinical lesson

Two different cases of postoperative symptomatic common carotid artery involvment in type A aortic dissection

  1. Lorenz Gürke2
  1. 1Department of General Surgery, University Hospital Basel, Basel, Switzerland
  2. 2Department of Vascular Surgery, University Hospital Basel, Basel, Switzerland
  1. Correspondence to Dr Raoul A Droeser; rdroeser{at}uhbs.ch

Summary

Postoperative common carotid artery occlusion after reconstruction for type A aortic dissection can lead to major neurological morbidity. Surgical strategy to re-establish the cerebral perfusion depends on the time of onset of neurological deficits in this otherwise life-threatening disease. We present two cases with neurological deficits after replacement of the ascending aorta for a type A dissection treated with two different surgical strategies. In both cases, prompt surgical interventions improved neurological outcome.

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