Key result
Emergency surgery for type A aortic dissection and severe carotid stenosis allows neurologically intact discharge.
Case Report (n=1)
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Emergency surgery for Stanford type A aortic dissection can be successfully performed with good neurological recovery even after recent administration of recombinant tissue plasminogen activator for ischemic stroke.
A 68-year-old man lost consciousness while speaking. Computed tomography of the head revealed no hemorrhage or areas of hypodensity. Recombinant tissue plasminogen activator was administered. Neck duplex scanning showed dissecting intima of the right common carotid artery. Chest computed tomography disclosed Stanford type A aortic dissection. We performed emergency surgery because the right common carotid artery was severely stenosed. Despite 8 h of surgery due to coagulopathy, the patient was discharged without neurological deficits.
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Yamashiro et al. (2013) conducted a case report in Stanford type A aortic dissection with ischemic stroke (n=1). Emergency surgery was evaluated on Neurological deficits at discharge. Emergency surgery for Stanford type A aortic dissection with severe right common carotid artery stenosis resulted in discharge without neurological deficits despite 8 hours of surgery.
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