Early and late outcomes of type A acute aortic dissection with common carotid artery involvement.

ABSTRACT:

Objective

The relationship between common carotid artery (CCA) involvement in acute type A aortic dissection (ATAAD) and postoperative outcomes remains unclear. We investigated outcomes and described our current advanced strategy.

Methods

Of 492 patients who underwent surgical repair for ATAAD between September 1999 and February 2021, CCA involvement was identified in 114. Eighty of these 114 patients (70.2%) were classified as having a thrombosed CCA and 34 (29.8%) were classified as nonthrombosed. To prevent postoperative cerebral malperfusion, we initiated a strategy of early reperfusion and direct reconstruction of dissected and thrombosed CCAs regardless of neurologic symptoms.

Results

Fifty-five patients (48.2%) showed preoperative neurologic symptoms. No signif

SUBMITTER: Inoue T 

PROVIDER: S-EPMC9390160 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature