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
Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection / Biancari, Fausto; Lahtinen, Maija; Erkinaro, Tiina; Liisanantti, Janne; Anttila, Vesa; D'Andrea, Vito. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 2239-253X. - STAMPA. - 86:3(2015), pp. 258-260.
Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection
D'ANDREA, Vito
2015
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 surgeryI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.