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Heart Surg Forum. 2006;9(6):E818-9.

Aorto-carotid bypass for cerebral malperfusion after aortic dissection surgery: a case report.

Author information

1
Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden. Ulrik.Sartipy@karolinska.se

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.

PMID:
16893755
DOI:
10.1532/HSF982.0061029
[Indexed for MEDLINE]

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