He had an aortic dissection in 2014. They repaired that (and put in a new heart valve) but apparently there was a complication, a "false lumen". This (as I understand it) is a sack of low circulation velocity in the artery where blood can clot. And apparently here it released into the arterial flow during surgery a week ago (in a desperate attempt to repair it?) and caused massive embolism across his brain.