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Direct bilateral carotid artery cannulation can be better strategy for acute aortic dissection involving both carotid arteries
Author(s) -
Sicim Hüseyin,
Demirdas Ertan,
Bolcal Cengiz
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15872
Subject(s) - medicine , aortic dissection , carotid arteries , cerebral perfusion pressure , cardiopulmonary bypass , perfusion , surgery , dissection (medical) , carotid artery dissection , neurological deficit , cardiology , aorta
Although acute aortic dissections with bilateral carotid artery involvement are rare, they have serious morbidity and mortality rates. The most important strategy in cases with carotid involvement is to provide adequate cerebral perfusion during cardiopulmonary bypass. In this case, we presented, aortic dissection with bilateral carotid involvement was detected in the patient who was admitted to the emergency department with severe chest pain, vision loss, and left arm monoplegia, and the decision for surgery was made urgently. Selective cerebral perfusion was provided throughout the operation with direct bilateral carotid cannulation, in terms of being the fastest method and providing adequate cerebral flow. During the discharge period, full recovery was achieved in neurological deficits without any sequelae. We think that the technique we have applied in such a difficult and complicated case is the best strategy because it is fast and effective.