title: Two different cases of postoperative symptomatic common carotid artery involvment in type A aortic dissection.
abstract: Postoperative common carotid artery occlusion after reconstruction for type A aortic dissection can lead to major neurological morbidity. Surgical strategy to re-establish the cerebral perfusion depends on the time of onset of neurological deficits in this otherwise life-threatening disease. We present two cases with neurological deficits after replacement of the ascending aorta for a type A dissection treated with two different surgical strategies. In both cases, prompt surgical interventions improved neurological outcome.
authors.affiliation: Department of General Surgery, University Hospital Basel, Switzerland. rdroeser@uhbs.ch
authors.forename: Raoul A
authors.initials: RA
authors.lastname: Droeser
authors.forename: Thomas
authors.initials: T
authors.lastname: Wolff
authors.forename: Edin
authors.initials: E
authors.lastname: Mujagic
authors.forename: Lorenz
authors.initials: L
authors.lastname: Gürke
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017536:Carotid Artery, Common / Q000601:surgery; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis* / Q000601:surgery; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000601:surgery; D002548:Cerebral Revascularization; D001026:Coronary Artery Bypass; D016894:Endarterectomy, Carotid; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D018616:Ultrasonography, Doppler, Duplex