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Case Reports
. 2024 Jan 13;35(4):363-366.
doi: 10.37616/2212-5043.1363. eCollection 2023.

Retrograde Type A Acute Aortic Dissection With Cerebral Malperfusion Six Years After Thoracic Endovascular Aortic Repair

Hideki Sasaki  1 , Yukihide Numata  1 , Shinji Kamiya  1 , Yoshiaki Sone  1 , Miki Asano  1
Affiliations
Case Reports

Retrograde Type A Acute Aortic Dissection With Cerebral Malperfusion Six Years After Thoracic Endovascular Aortic Repair

Hideki Sasaki et al. J Saudi Heart Assoc. .

Abstract

A 59-year-old male with prior thoracic endovascular aortic repair presented with altered mental status. Magnetic resonance imaging showed cerebral infarction, and subsequent computed tomography revealed acute type A aortic dissection and right carotid artery occlusion. He underwent total arch replacement with right carotid artery bypass. After successful intervention, he was transferred to a rehabilitation facility for further improvement.

Keywords: Carotid artery bypass; Retrograde type A acute aortic dissection; Thoracic endovascular aortic repair.

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Conflict of interest statement

Conflicts of interest: All authors have no conflict of interest. Disclosure of funding: All authors receive no funding.

Figures

Fig. 1
Fig. 1
Preoperative compute tomography. A. An intimal tear located close to cTAG. B. The right common carotid artery was not opacified.
Fig. 2
Fig. 2
Intraoperative findings. A. Intimal tear locating close to cTAG. B. The branch of the graft anastomosed to the right common carotid artery from the mediastinum.
Fig. 3
Fig. 3
Schematic drawing of the procedure.
See this image and copyright information in PMC

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