Conclusion:
Coma is a serious complication of TAAD, but it must not be considered as
an absolute contraindication for surgery. As brain is prone to ischemic
damage, minimizing the ischemic time is crucial to increase the chances
of neurologic recovery, while avoiding futile interventions in patients
with irreversible massive brain injury. We propose emergency brain MRI
in hemodynamically stable patients as a tool to be introduced into
management algorithms.