Aggressive strategy to save the brain in a case of acute aortic dissection. Issue 10 (28th July 2021)

• Record Type: Journal Article
• Authors: Minatoya, Kenji
• Is Part Of: Journal of cardiac surgery. Volume 36:Issue 10(2021)
• Page Start: 3981
• Page End: 3982
• Publication Date: 2021-07-28
• Subjects: acute aortic dissection -- cerebral malperfsuion; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.15874
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: 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.