Aggressive strategy to save the brain in a case of acute aortic dissection

The case report by Sicim et al. is the placement of extra‐anatomical bypasses in bilateral common carotid arteries. The similar previous reports of the extra‐anatomical bypass usually indicate unilateral bypass. Whether or not the Willis' circle is incomplete is difficult to judge during emerge...

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Bibliographic Details
Published inJournal of cardiac surgery Vol. 36; no. 10; pp. 3981 - 3982
Main Author Minatoya, Kenji
Format Journal Article
LanguageEnglish
Published 01.10.2021
Subjects
acute aortic dissection
cerebral malperfsuion
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Summary:The case report by Sicim et al. is the placement of extra‐anatomical bypasses in bilateral common carotid arteries. The similar previous reports of the extra‐anatomical bypass usually indicate unilateral bypass. Whether or not the Willis' circle is incomplete is difficult to judge during emergency surgery, and the authors' judgment seems to have been correct in the sense that it could maintain cerebral perfusion reliably and quickly. The direct perfusion and extra‐anatomical bypass of the carotid artery is a reasonable strategy in patients with cerebral malperfusion.
Bibliography:ObjectType-Case Study-2
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ISSN:0886-0440
1540-8191
DOI:10.1111/jocs.15874