Cervical Doppler and duplex sonography in type A aortic dissections

Clinical files of 102 surgically treated patients with type A aortic dissection were analyzed retrospectively for neurological symptoms, neurophysiological and neuroimaging findings. Involvement of one or more main branches of the aortic arch was found in 43% of all patients, most frequently affecting the innominate and carotid arteries (40% vs. 25% Aa. subclaviae). Ultrasound examination was performed presurgically in 17 patients, nine of them with neurological symptoms, and revealed dissection in five patients (29%). Three of these five patients presented with preoperative stroke. Fig. 1 Fig. 2 The collected u…