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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Michel BATT 1, Laurent SUISSA 2, Jacques SEDAT 3, Sylvain LACHAUD 2, Yves CHAU 3, Jean BAQUÉ 3
1 Department of Vascular Surgery, St Roch Hospital, Université de Nice, Sophia Antipolis, Nice, France; 2 Department of Vascular Neurology, St Roch Hospital, Université de Nice, Sophia Antipolis, Nice, France; 3 Department of Interventional Neuro‑Radiology and Interventional Vascular Radiology, St Roch Hospital, Université de Nice, Sophia Antipolis, Nice, France
Minimally invasive aortic valve procedures via mini-sternotomy (mini-AVR) are gaining popularity. Myocardial protection in this setting may bA 61-year-old woman underwent right carotid endarterectomy for asymptomatic stenosis (80%). Routine endarterectomy was performed using a selective shunt. The patient recovered from surgery without any neurologic deficit, but six hours after the operation, she experienced massive left-sided hemiplegia. An urgent MRI showed right-sided Sylvian ischemia with an absence of carotid-sylvian flux. Thrombolysis treatment was inadvisable. Lifesaving mechanical unclogging was performed: carotid stenting enabled us to reestablish the permeability of the internal carotid artery and the flux in the middle cerebral artery. Twenty-four hours after the operation, the patient had made a complete neurological recovery.