Preoperative percutaneous carotid artery recanalization in a patient
with aortic dissection type A
Abstract
Management of patients with acute type A aortic dissection (ATAAD)
presenting with cerebral malperfusion due to carotid artery obstruction
is still a major challenge and often associated with poor prognosis
despite successful surgical aortic repair, due to prolonged cerebral
perfusion deficit. Here, we present the first report regarding
successful percutaneous recanalization of an internal carotid artery
occlusion in the setting of an ATAAD prior to open surgical aortic
repair with excellent clinical outcome after three year follow-up,
including almost full neurological recovery.