Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection
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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.
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How to Cite
Biancari, Fausto, et al. “Decompressive Hemicraniectomy for Treatment of Space Occupying Ischemic Stroke After Repair of Type-A Aortic Dissection”. Annali Italiani Di Chirurgia, vol. 86, no. 3, May 2015, pp. 258-60, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1451.
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Case Report