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Aggressive strategy to save the brain in a case of acute aortic dissection
  • Kenji Minatoya
Kenji Minatoya
Kyoto Daigaku

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The case report by Sicim et al. is the placement of extra-anatomical bypasses in bilateral common carotid arteries. The similar previous reports of the extra-anatomical bypass usually indicate unilateral bypass. Whether or not the Willis' circle is incomplete is difficult to judge during emergency surgery, and the authors' judgment seems to have been correct in the sense that it could maintain cerebral perfusion reliably and quickly. The direct perfusion and extraanatomical bypass of carotid artery is a reasonable strategy in patients with cerebral malperfusion.
22 Jul 2021Submitted to Journal of Cardiac Surgery
22 Jul 2021Submission Checks Completed
22 Jul 2021Assigned to Editor
22 Jul 2021Editorial Decision: Accept
Oct 2021Published in Journal of Cardiac Surgery volume 36 issue 10 on pages 3981-3982. 10.1111/jocs.15874