The implications of extensive cerebral vascular dysplasia in surgical repair of coarctation of the aorta and ventricular septal defect
The implications of extensive cerebral vascular dysplasia in surgical repair of coarctation of the aorta and ventricular septal defect
Although acute neurologic problems are relatively common postoperatively in patients with arch anomalies,1 associated anomalies of the head and neck vessels are not routinely excluded preoperatively. In this report we describe the case of a patient with severe dysplasia of the intracerebral vessels and incomplete circle of Willis who underwent successful concomitant repair of a long-segment aortic coarctation and ventricular septal defect (VSD) under hypothermic circulatory arrest. Despite a satisfactory cardiovascular outcome, he had a cerebral infarction during follow-up. Modern magnetic resonance (MR) methods may assist in the diagnostic work-up of patients with arch anomalies, including coarctation. Ischemic stroke caused by cerebroarterial disease in children with congenital heart disease will also be discussed.
998-1001
Hsia, Tain Yen
2d308ced-1370-4da7-ba89-5a84630bbcf7
Kirkham, Fenella
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Waldman, Adam
a80dd998-d424-4831-ab89-7fc95ee34aac
Tsang, Victor
34dc75cf-d8c9-4c55-9e99-3ccaeeb37499
1 May 2001
Hsia, Tain Yen
2d308ced-1370-4da7-ba89-5a84630bbcf7
Kirkham, Fenella
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Waldman, Adam
a80dd998-d424-4831-ab89-7fc95ee34aac
Tsang, Victor
34dc75cf-d8c9-4c55-9e99-3ccaeeb37499
Hsia, Tain Yen, Kirkham, Fenella, Waldman, Adam and Tsang, Victor
(2001)
The implications of extensive cerebral vascular dysplasia in surgical repair of coarctation of the aorta and ventricular septal defect.
Journal of Thoracic and Cardiovascular Surgery, 121 (5), .
(doi:10.1067/mtc.2001.110489).
Abstract
Although acute neurologic problems are relatively common postoperatively in patients with arch anomalies,1 associated anomalies of the head and neck vessels are not routinely excluded preoperatively. In this report we describe the case of a patient with severe dysplasia of the intracerebral vessels and incomplete circle of Willis who underwent successful concomitant repair of a long-segment aortic coarctation and ventricular septal defect (VSD) under hypothermic circulatory arrest. Despite a satisfactory cardiovascular outcome, he had a cerebral infarction during follow-up. Modern magnetic resonance (MR) methods may assist in the diagnostic work-up of patients with arch anomalies, including coarctation. Ischemic stroke caused by cerebroarterial disease in children with congenital heart disease will also be discussed.
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Published date: 1 May 2001
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Local EPrints ID: 429825
URI: http://eprints.soton.ac.uk/id/eprint/429825
ISSN: 0022-5223
PURE UUID: 0eb4ec50-0f1f-4c8b-8544-1f39a4bca2c5
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Date deposited: 05 Apr 2019 16:30
Last modified: 16 Mar 2024 03:22
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Author:
Tain Yen Hsia
Author:
Adam Waldman
Author:
Victor Tsang
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