Aggressive strategy to save the brain in a case of acute aortic
dissection
- Kenji Minatoya
Abstract
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 extraanatomical bypass of
carotid artery is a reasonable strategy in patients with cerebral
malperfusion.22 Jul 2021Submitted to Journal of Cardiac Surgery 22 Jul 2021Submission Checks Completed
22 Jul 2021Assigned to Editor
22 Jul 2021Editorial Decision: Accept
Oct 2021Published in Journal of Cardiac Surgery volume 36 issue 10 on pages 3981-3982. 10.1111/jocs.15874