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Thrombus Extruded From the Re-Entry Point of an Aortic Dissection in the Common Carotid Artery

Junji Fukumori1, Kenji Fukutome1, Yasutaka Murakami2

  • 1Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan.

JACC. Case Reports
|December 2, 2024
PubMed

Insights

Stanford type A aortic dissection can present with thrombus protruding from re-entry points in the common carotid artery. This finding necessitates immediate intervention due to the risk of embolization.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Stanford type A aortic dissection is a life-threatening condition involving the ascending aorta.
  • Re-entry points in the aorta can lead to complex hemodynamics and complications.

Purpose of the Study:

  • To highlight a rare presentation of Stanford type A aortic dissection.
  • To emphasize the potential for thrombus protrusion from carotid artery re-entry points.

Main Methods:

  • Case report detailing a patient with Stanford type A aortic dissection.
  • Review of imaging findings and clinical course.

Main Results:

  • Identified protruding thrombus at a common carotid artery re-entry point.
  • Recognized the embolic potential of the protruding thrombus.

Conclusions:

  • Protruding thrombus from carotid re-entry points is a critical finding in Stanford type A aortic dissection.
  • Immediate therapeutic intervention is crucial to prevent embolization and associated neurological deficits.

Keywords:
angioscopyaortic dissectioncommon carotid arterystentingthrombus

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