雷击同一个地方两次：本垒打后复发性中风伴Tissel栓塞。

IF 5.3 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Canadian Journal of Cardiology Pub Date : 2025-10-13 DOI:10.1016/j.cjca.2025.10.007

Bedirhan Bugra Bayici, Fatih Kizilyel

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引用次数: 0

摘要

主动脉夹层是危及生命的紧急情况，需要紧急手术修复。止血胶粘剂如纤维蛋白密封剂被广泛用于加强缝合线，但罕见的栓塞并发症可能发生。我们报告一位54岁的男性，他在应用Tissel胶的Bentall手术后发生了两次复发性大脑中动脉栓塞性中风。本病例强调了纤维蛋白密封剂的潜在危害，强调了术中小心处理的必要性，并强调了早期识别和多学科治疗神经系统并发症的重要性。

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

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.

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来源期刊

Canadian Journal of Cardiology 医学-心血管系统

CiteScore

9.20

自引率

8.10%

发文量

546

审稿时长

32 days

期刊介绍： The Canadian Journal of Cardiology (CJC) is the official journal of the Canadian Cardiovascular Society (CCS). The CJC is a vehicle for the international dissemination of new knowledge in cardiology and cardiovascular science, particularly serving as the major venue for Canadian cardiovascular medicine.