Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2886659 | Annals of Vascular Surgery | 2014 | 5 Pages |
Abstract
Symptomatic acute carotid occlusion demands treatment, but the exact treatment to be provided in the case of acute occlusion of 3 supra-aortic vessels is not well established. Herein, we describe the successful emergency hybrid management of a massive thromboembolic occlusion of the right subclavian artery, common carotid artery, and innominate trunk, associated with left arm hemiparesis, motor aphasia, and confusion, and extensive pulmonary embolism. The diagnostic work-up and the hybrid surgical strategy adopted are described. Neurologic symptoms had completely regressed at discharge and the patient was free of any complications at the 3-month follow-up.
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Authors
Emiliano Chisci, Leonardo Ercolini, Eugenio Romano, Nicola Troisi, Stefano Michelagnoli,