title: Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection.
abstract: Postoperative stroke after cardiac surgery is often a lethal complication. Herein, we report on a patient who suffered space-occupying ischemic stroke after surgical treatment of type A aortic dissection. He underwent decompressive hemicraniectomy and, despite residual hemianopsia and left side flaccid hemiplegia, survived surgery and was discharged for rehabilitation. This observation suggests that early consultation with a neurosurgeon, intracranial pressure monitoring and, when indicated, decompressive hemicraniectomy should be considered in order to reduce the high mortality rate associated with ischemic stroke after cardiac surgery.
authors.forename: Fausto
authors.initials: F
authors.lastname: Biancari
authors.forename: Maija
authors.initials: M
authors.lastname: Lahtinen
authors.forename: Tiina
authors.initials: T
authors.lastname: Erkinaro
authors.forename: Janne
authors.initials: J
authors.lastname: Liisanantti
authors.forename: Vesa
authors.initials: V
authors.lastname: Anttila
authors.forename: Vito
authors.initials: V
authors.lastname: D'Andrea
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D056424:Decompressive Craniectomy; D006801:Humans; D008297:Male; D020521:Stroke / Q000601:surgery*