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The emerging role of brain Magnetic Resonance Imaging in decision-making for comatose type A acute aortic dissection.
  • +2
  • Kevin PLUCHON,
  • Paul BORCHIELLINI,
  • Béatrice CARSIN-NICOL,
  • Apolline DOLLFUS,
  • Amedeo Anselmi
Kevin PLUCHON
Hopital Pontchaillou

Corresponding Author:[email protected]

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Paul BORCHIELLINI
Hopital Pontchaillou
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Béatrice CARSIN-NICOL
Hopital Pontchaillou
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Apolline DOLLFUS
Hopital Pontchaillou Service de dermatologie
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Amedeo Anselmi
Hopital Pontchaillou
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Abstract

Type A dissection complicated by cerebral malperfusion and coma may pose decision-making challenges. We describe the case of a patient who presented coma in the context of acute type A aortic dissection, without cardiac tamponade. Brain MRI was performed 4 hours after the onset of symptoms to evaluate the brain perfusion and viability. We discuss the potential role of the currently available emergency brain MRI as an additional tool in the workup of aortic dissection, and its potential to discriminate between irreversible brain injury and brain viability.
10 Apr 2022Submitted to Journal of Cardiac Surgery
11 Apr 2022Assigned to Editor
11 Apr 2022Submission Checks Completed
11 Apr 2022Reviewer(s) Assigned
20 Apr 2022Review(s) Completed, Editorial Evaluation Pending
20 Apr 2022Editorial Decision: Revise Major