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 surgery
2015
Aortic, cardiovascular surgery, hemicraniectomy, stroke
01 Pubblicazione su rivista::01a Articolo in rivista
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.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/866417
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