Aorto-Carotid Bypass for Cerebral Malperfusion after Aortic Dissection Surgery: A Case Report

Authors

  • Ulrik Sartipy
  • Jonas Malmstedt
  • Peter Holm
  • Anders Öwall
  • Göran Dellgren

DOI:

https://doi.org/10.1532/HSF982.0061029

Abstract

Malperfusion syndrome may complicate the postoperative course in patients who have undergone surgery for aortic dissection. In these cases, open surgery or endovascular intervention may be required. We present a case of postoperative onset of intermittent severe neurological symptoms after surgery for type A aortic dissection. Progressive dissection of the carotid arteries was diagnosed, and treatment options were discussed. A successful aorto-carotid bypass was performed by cardiac and vascular surgeons in collaboration. All neurological symptoms were completely resolved. We advocate a high degree of vigilance for signs of cerebral malperfusion in the intensive care unit. Early intervention can result in a successful outcome, as illustrated by this case report.

References

Cambria RP, Brewster DC, Gertler J, et al. 1988. Vascular complications associated with spontaneous aortic dissection. J Vasc Surg 7:199-209.nGirardi LN, Krieger KH, Lee LY, et al. 2004. Management strategies for type A dissection complicated by peripheral vascular malperfusion. Ann Thorac Surg 77:1309-14.nNeri E, Sani G, Massetti M, et al. 2004. Residual dissection of the brachiocephalic arteries: significance, management, and long-term outcome. J Thorac Cardiovasc Surg 128:303-12.nTanaka H, Okada K, Yamashita T, et al. 2005. Surgical results of acute aortic dissection complicated with cerebral malperfusion. Ann Thorac Surg 80:72-6.nWalterbusch G, Oelert H, Borst HG. 1984. Restoration of cerebral blood flow by extraanatomic bypass in acute aortic dissection. Thorac Cardiovasc Surg 32:381-2.n

Published

2006-08-07

How to Cite

Sartipy, U., Malmstedt, J., Holm, P., Öwall, A., & Dellgren, G. (2006). Aorto-Carotid Bypass for Cerebral Malperfusion after Aortic Dissection Surgery: A Case Report. The Heart Surgery Forum, 9(6), E818-E819. https://doi.org/10.1532/HSF982.0061029

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