Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection

Ann Ital Chir. May-Jun 2015;86(3):258-60.

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.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Thoracic / surgery*
  • Decompressive Craniectomy*
  • Humans
  • Male
  • Stroke / surgery*

Supplementary concepts

  • Aortic Aneurysm, Familial Thoracic 1