title: Cannulation and perfusion strategy in acute aortic dissection involving both common carotid arteries.
abstract: A rare case of acute aortic dissection with bilateral circumferential dissection of the common carotid artery (CCA), resulting in a severely narrowed true lumen and clinical signs of cerebral malperfusion is reported. After partial resection of the right CCA, a vascular prosthesis was interposed to restore the true lumen perfusion. To ensure sufficient cerebral and global perfusion, the interposition graft of the right CCA and a femoral artery were cannulated with a bifurcated arterial line. The unimpaired cerebral perfusion was achieved by total arch replacement and right-sided aorta-carotid bypass, leading to complete neurological recovery.
authors.affiliation: Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany p.urbanski@kardiochirurg.de.
authors.forename: Paul P
authors.initials: PP
authors.lastname: Urbanski
authors.affiliation: Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany.
authors.forename: Vadim
authors.initials: V
authors.lastname: Irimie
authors.affiliation: Department of Radiology, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Wagner
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D010477:Perfusion / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome
keywords: Acute aortic dissection; Aortic arch surgery; Arterial cannulation; Cerebral malperfusion; Cerebral protection