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Aggressive strategy to save the brain in a case of acute aortic dissection
Author(s) -
Minatoya Kenji
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.15874
Subject(s) - medicine , circle of willis , cerebral perfusion pressure , perfusion , aortic dissection , dissection (medical) , carotid arteries , radiology , surgery , cardiology , aorta
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.