Korean J Thorac Cardiovasc Surg.
2016 Oct;49(5):392-396. 10.5090/kjtcs.2016.49.5.392.
Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
- Affiliations
-
- 1Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine, Korea. kblee@schmc.ac.kr
- 2Department of Cardiology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine, Korea.
- 3Department of Thoracic Surgery, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine, Korea.
- KMID: 2354376
- DOI: http://doi.org/10.5090/kjtcs.2016.49.5.392
Abstract
- We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Unexpected Complication of Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in a Patient with Acute Ischemic Stroke: Aortic Dissection
- Intravenous Thrombolysis and Endovascular Thrombectomy in Acute Ischemic Stroke with Minor Symptom
- Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in a Patient with Acute Ischemic Stroke Secondary to Aortic Dissection
- Painless Aortic Dissection Presenting as Acute Ischemic Stroke: Administ-ra-tion of Tissue lasminogen Activator
- Intravenous t-PA Thrombolysis in an Acute Ischemic Stroke Patient With Takayasu's Arteritis
