Perioperative acute internal carotid thrombosis after general surgery

Česká verzia

Authors: B. Čertík; V. Opatrný; V. Třeška; J. Šebek
Authors place of work: Chirurgická klinika Fakultní nemocnice Plzeň a Lékařská fakulta v Plzni, Univerzita Karlova
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 3, s. 136-139.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2020.99.3.136–140

Summary

Introduction: The average incidence of perioperative stroke during major non-cardiac surgery is less than 1%, suggesting that it is rarely a major problem for the vast majority of patients.

Methods: In our paper we present a 46-year-old patient undergoing acute right hemicolectomy who developed right-sided hemiparesis in the perioperative setting. Immediate CTAg examination showed an ischemic stroke in the left hemisphere as a result of left internal carotid thrombosis. A surgical procedure to recanalize the left carotid artery was performed 14 hours from the onset of neurological symptomatology and the neurological deficit gradually recovered fully.

Conclusion: Our case report supports studies showing that a thorough diagnostic assessment allows the selection of patients who may benefit from urgent revascularization of acute internal carotid occlusion during the phase of acute brain ischemia.

Zdroje

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