Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection Kristofer M. Charlton-Ouw, MD, FACS,

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Presentation transcript:

Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection Kristofer M. Charlton-Ouw, MD, FACS, Ali Azizzadeh, MD, FACS, Harleen K. Sandhu, MD, Ali Sawal, BA, Samuel S. Leake, BS, Charles C. Miller, PhD, Anthony L. Estrera, MD, FACS, Hazim J. Safi, MD, FACS Journal of Vascular Surgery Volume 58, Issue 4, Pages 910-916 (October 2013) DOI: 10.1016/j.jvs.2013.03.042 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Imaging from a 46-year-old woman who presented with chest and back pain and was found to have acute type A aortic dissection with bilateral common carotid artery dissection (CCAD). a, Preoperative contrast computed tomography (CT) image showing 95% right common carotid artery stenosis and 60% left common carotid artery stenosis (yellow highlight added). b, Postoperative CT image with bilateral thrombosed common carotid artery false lumens (yellow highlight added). c, Postoperative B-mode ultrasound in long-axis showing echogenic thrombosis of left common carotid artery false lumen (red highlight added) and patent true lumen. Journal of Vascular Surgery 2013 58, 910-916DOI: (10.1016/j.jvs.2013.03.042) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplain-Meier survival curves for acute type A dissection patients with and without common carotid artery dissection (CCAD). Numbers below curves represent patients at risk (%). Journal of Vascular Surgery 2013 58, 910-916DOI: (10.1016/j.jvs.2013.03.042) Copyright © 2013 Society for Vascular Surgery Terms and Conditions