ACUTE AORTIC DISSECTION TYPE A EXTENDED, COMPLICATED EXTENSIVE STROKE ABOUT A CASE, AND LITERATURE REVIEW

Patients with acute type A aortic dissection presenting with stroke: should we operate on them?Stroke is a severe complication in the early stages of acute type A aortic dissection and is associated with a dismal prognosis. The surgical treatment of these patients remains controversial. We herein report a challenging clinical presentation of an acute type A aortic dissection revealed by a major brain injury. We further review the literature related to the management of this dreaded association. Recent clinical series show favorable outcomes of early surgical repair in selected patients.