The Thoracic and Cardiovascular Surgeon, Table of Contents Thorac Cardiovasc Surg 2005; 53(5): 321-322DOI: 10.1055/s-2005-865759 Short Communication © Georg Thieme Verlag KG Stuttgart · New York Delayed Repair of Stanford Type-A Dissection Following Fulminant Cerebral Infarction A. Eren1 , H. Gulbins1 , A. Pritisanac1 , A. Hannekum1 1Department of Cardiac Surgery, University Hospital Ulm, Ulm, Germany Recommend Article Abstract Buy Article All articles of this category Abstract We report an impressive case in which a complete infarction of the right hemisphere due to an acute occlusion of the right carotid artery had developed. After cerebral decompression and neurological rehabilitation, the persisting dissection of the ascending aorta and both carotid arteries was successfully repaired in one session. Key words Chronic aortic dissection - carotid artery desobliteration Full Text References References 1 Yacoub M H. Valve-conserving operation for aortic root aneurysm or dissection. Cox JL, Sundt TM Operative Techniques in Cardiac and Thoracic Surgery. A Comparative Atlas. Philadelphia; Saunders 1996: 57-67 2 Roques X. Chronic dissection of the thoracic aorta. Diagnosis, management and prognosis. Arch Mal Coeur Vaiss. 1997; 90 (Suppl) 1759-1766 3 Kozai Y, Watanabe S, Yonezawa M, Itani Y, Inoue T, Takasu J, Masuda Y. Long-term prognosis of acute aortic dissection with medical treatment. A survey of 263 unoperated patients. Jpn Circ J. 2001; 65 359-363 4 Bachet J, Guilmet D. Brain protection during surgery of the aortic arch. J Card Surg. 2002; 17 115-124 5 Czerny M, Fleck T, Zimpfer D, Dworschak M, Hofmann W, Hutschala D, Dunkler D, Ehrlich M, Wolner E, Grabenwoger M. Risk factors of mortality and permanent neurologic injury in patients undergoing ascending aortic and arch repair. J Thorac Cardiovasc Surg. 2003; 126 1296-1301 6 Di Eusanio M, Schepens M, Morshuis W, Dossche K, Pacini D, Di Marco L, Pierangeli A, Di Bartolomeo R. Operations on the thoracic aorta and antegrade selective cerebral perfusion: our experience with 462 patients. Ital Heart J. 2004; 5 217-222 7 Di Eusanio M, Schepens M, Morshuis W, Di Bartolomeo R, Pierangeli A, Dossche K. Antegrade selective cerebral perfusion during operations on the thoracic aorta: factors influencing survival and neurologic outcome in 413 patients. J Thorac Cardiovasc Surg. 2002; 124 1080-1086 8 Immer F F, Lipeck C, Barmetter H, Berdat B A, Eckstein F S, Kipfer B, Sauer H, Schmidli J, Carrel T P. Improvement of quality of life after surgery on the thoracic aorta: effect of antegrade cerebral perfusion and short duration of deep hypothermic circulatory arrest. Circulation. 2004; 110 (Suppl 1) II-250-II-255 MD H. Gulbins Department of Cardiac SurgeryUniversity Clinic Steinhövelstraße 9 89075 Ulm Germany Phone: + 497315027322 Fax: + 49 73 15 02 73 19 Email: helmut.gulbins@medizin.uni-ulm.de
