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- Go Hashimoto, Shinichi Wada, Takao Morita, Saori Tomohara, Kenta Hara, Mitsuru Kumabe, Takumi Matsushima, Masanori Kadowaki, Masumitsu Hamaguchi, Takahiro Kuwashiro, Masahiro Yasaka, and Yasushi Okada.
- Division of Cerebrovascular Medicine and Neurology, Clinical Research Institute, National Hospitalization Organization, Kyushu Medical Center, Japan.
- Intern. Med. 2020 Dec 1; 59 (23): 3071-3074.
AbstractAn 84-year-old man developed motor aphasia and right hemiparesis on postoperative day 1 after orchiectomy for suspected malignant lymphoma. He had a history of thoracic endovascular aortic repair for aortic aneurysm using a bypass graft from the right subclavian artery to the left common carotid artery (CCA); however, the graft had become occluded six months later. Brain magnetic resonance imaging revealed acute cerebral infarctions in the left frontal lobe. Carotid ultrasonography revealed a stump at the left CCA, just below the bifurcation, formed by the occluded graft with an oscillating thrombus. This case was rare in that a CCA stump was identified as the embolic source of ischemic stroke.
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