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Emergency decompressive craniectomy was initially performed, with an initial diagnosis of hemorrhagic cerebral infarction. The patient was referred for surgical management following a diagnosis of acute type A aortic dissection. After stabilizing the neurological condition with medical treatment for nine weeks, hemiarch replacement was performed electively. The postoperative course was uneventful, with no new neurological disorders. Subsequently, she recovered sufficiently to have daily conversations and attend hospital appointments using a wheelchair.<\/jats:p>","DOI":"10.1186\/s40792-022-01526-2","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T04:02:42Z","timestamp":1663560162000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Aortic repair following initial decompressive craniectomy for acute type A aortic dissection complicated with extensive hemorrhagic cerebral infarction: a case report"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3674-9852","authenticated-orcid":false,"given":"Masaki","family":"Kano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinari","family":"Iwahori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Ogino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,9,19]]},"reference":[{"key":"1526_CR1","doi-asserted-by":"publisher","first-page":"S213","DOI":"10.1016\/j.jtcvs.2012.11.054","volume":"145","author":"M Di Eusanio","year":"2013","unstructured":"Di Eusanio M, Patel HJ, Nienaber CA, et al. Patients with type A acute aortic dissection presenting with major brain injury: should we operate on them? J Thorac Cardiovasc Surg. 2013;145:S213-221.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"1526_CR2","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1093\/ejcts\/ezs025","volume":"42","author":"LO Conzelmann","year":"2012","unstructured":"Conzelmann LO, Hoffmann I, Blettner M, et al. Analysis of risk factors for neurological dysfunction in patients with acute aortic dissection type A: data from the German Registry for Acute Aortic Dissection type A (GERAADA). Eur J Cardiothorac Surg. 2012;42:557\u201365.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1526_CR3","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1093\/ejcts\/ezx465","volume":"53","author":"J Dumfarth","year":"2018","unstructured":"Dumfarth J, Kofler M, Stastny L, et al. Stroke after emergent surgery for acute type A aortic dissection: predictors, outcome and neurological recovery. 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