Two different cases of postoperative symptomatic common carotid artery involvment in type A aortic dissection
- 1Department of General Surgery, University Hospital Basel, Basel, Switzerland
- 2Department of Vascular Surgery, University Hospital Basel, Basel, Switzerland
- 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.
