Acute Type A Aortic Dissection with Cerebral Hypoperfusion

VernacularTitle:脳低灌流を伴ったA型急性大動脈解離の1手術例
Author: Kazunori SAKAGUCHI ¹ ; So IZUMI ² ; Reiko KANNO ¹ ; Mayo KONDO ² ; Takuro TSUKUBE ¹
Author Information

1. Division of Cardiovascular Surgery, Japanese Red Cross Kobe Hospital
2. Hyogo Emergency Medical Center
Keywords: acute aortic dissection; Stanford type A; cerebral malperfusion; CT perfusion
From:Japanese Journal of Cardiovascular Surgery 2023;52(5):345-348
CountryJapan
Language:Japanese
Abstract: A 79-year-old woman with left hemiplegia and loss of consciousness was transferred to a previous hospital. She underwent a CT-scan of the aorta and CT-perfusion of the brain and was diagnosed with Stanford type A acute aortic dissection complicated with cerebral malperfusion with narrowing of the right carotid artery region. She was transferred to our hospital and underwent emergency ascending aorta replacement. Preoperative CT perfusion findings predicted improvement of neurological symptoms after aortic repair, and she had no neurological complications postoperatively.