Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection.
1. Ann Ital Chir. 2015;86:258-60.
Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection.
Abstract
Postoperative stroke after cardiac surgery is often a lethal complication. Herein, we report on a patient who suffered space-occupying ischemic stroke after surgical treatment of type A aortic dissection. He underwent decompressive hemicraniectomy and, despite residual hemianopsia and left side flaccid hemiplegia, survived surgery and was discharged for rehabilitation. This observation suggests that early consultation with a neurosurgeon, intracranial pressure monitoring and, when indicated, decompressive hemicraniectomy should be considered in order to reduce the high mortality rate associated with ischemic stroke after cardiac surgery
KEY WORDS:
Aortic dissection, Cardiac surgery, Craniectomy, Hemicraniectomy, Stroke allekirjoitus.
PMID: 26227348 [PubMed - in process]