Two Cases Treated by Different Strategies for Common Carotid Artery Dissection with Thrombosis Due to a Type A Aortic Dissection
- Resource Type
- report
- Authors
- Ren, Wei; Shi, Feng; Wang, Zhiwei; Wang, Jiahui; Chang, Jinxing
- Source
- Brazilian Journal of Cardiovascular Surgery. June 2020 35(3)
- Subject
- Aneurysm
Dissecting
Carotid Arteries
Carotid Artery Diseases
Stents
Thrombosis
Cerebrovascular Circulation
Computed Tomography Angiography
- Language
- English
- ISSN
- 0102-7638
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.