Does Lightning Strike the Same Place Twice : Recurrent Stroke Post-Bentall with Tissel embolism.

Abstract

Aortic dissection is a life-threatening emergency requiring urgent surgical repair. Hemostatic adhesives such as fibrin sealants are widely used to reinforce suture lines, yet rare embolic complications may occur. We report a 54-year-old male who developed two recurrent middle cerebral artery embolic strokes following a Bentall procedure in which Tissel glue was applied. This case highlights the potential hazards of fibrin sealants, underscores the need for careful intraoperative handling, and emphasizes the importance of early recognition and multidisciplinary management of neurological complications.