Key result
CT perfusion-guided emergency ascending aorta replacement yields intact neurological survival in acute type A dissection.
Why the study?
Acute Stanford type A aortic dissection complicated by cerebral malperfusion presents a critical clinical scenario requiring urgent intervention, but detailed case data remain limited.
Case Report (n=1)
No
Preoperative CT perfusion may be useful in predicting neurological improvement after surgical repair of acute type A aortic dissection complicated by cerebral malperfusion.
Should not change practice based on one case; hypothesis-generating for CT perfusion predicting recovery in type A dissection with malperfusion.
症例は79歳女性．嘔吐，意識消失を認め前医救急搬送．左片麻痺，意識レベル低下を認め，脳卒中を疑いCT perfusionが施行されたところ，Stanford A型急性大動脈解離に右頸動脈領域のCerebral malperfusion合併の診断となった．当院転院搬送後，ただちに上行大動脈人工血管置換術を施行した．術前CT perfusion所見より再灌流による神経学的症状の改善が予測され，神経学的合併症なく救命し得た．
No takes yet. Share an insight, caveat, or question.
Sakaguchi et al. (2023) conducted a case report in Stanford type A acute aortic dissection with cerebral malperfusion (n=1). Emergency ascending aorta replacement guided by CT perfusion was evaluated on Neurological outcome and survival. Emergency ascending aorta replacement guided by preoperative CT perfusion resulted in survival without neurological complications in a patient with acute type A aortic dissection and cerebral malperfusion.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: