Catastrophic cerebral infarction during extracorporeal life support due to a rare anomaly in the circle of Willis. (5th July 2019)

• Record Type: Journal Article
• Authors: Sonobe, Aiko; Kato, Hideyuki; Mathis, Bryan J; Hiramatsu, Yuji
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 29:Number 5(2019)
• Page Start: 816
• Page End: 817
• Publication Date: 2019-07-05
• Subjects: Extracorporeal life support -- Stroke -- Circle of Willis; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivz169
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: During extracorporeal life support (ECLS) in infants, cannulation of the right common carotid artery may result in a devastating ischaemic neurological injury. Herein, we present a case of an infant who encountered bilateral cerebral infarction during ECLS via the right carotid artery due to a rare and tragic anomaly of the circle of Willis. The magnetic resonance angiography complemented computed tomography in diagnosing the infarction and identifying this unique anatomy.