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A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction
BACKGROUND: Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Pre...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118898/ https://www.ncbi.nlm.nih.gov/pubmed/37090197 http://dx.doi.org/10.1155/2023/9986712 |
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author | Yadav, Vijay Gajurel, Ratna Mani Poudel, Chandra Mani Thapa, Paras Sharma, Manju Shrestha, Suraj |
author_facet | Yadav, Vijay Gajurel, Ratna Mani Poudel, Chandra Mani Thapa, Paras Sharma, Manju Shrestha, Suraj |
author_sort | Yadav, Vijay |
collection | PubMed |
description | BACKGROUND: Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Presentation. A 60-year-old woman presented to our hospital with concurrent AMI of the inferior left ventricular wall, complicated by cardiogenic shock and transient complete heart block, and AIS of more than 4.5 hour duration. The cerebral computerized tomography angiography revealed a right-sided terminal internal carotid artery (ICA) occlusion, and the coronary angiogram depicted double vessel disease with a culprit lesion in the right coronary artery (RCA). The patient underwent mechanical thrombectomy for the ICA occlusion by an interventional neuroradiologist followed by the primary percutaneous coronary intervention of the culprit RCA by the interventional cardiologists in the same setting. CONCLUSION: A patient with concurrent AMI and AIS is a challenging situation to treat in the emergency department, and the treatment must be individualized for each patient. |
format | Online Article Text |
id | pubmed-10118898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-101188982023-04-21 A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction Yadav, Vijay Gajurel, Ratna Mani Poudel, Chandra Mani Thapa, Paras Sharma, Manju Shrestha, Suraj Case Rep Cardiol Case Report BACKGROUND: Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Presentation. A 60-year-old woman presented to our hospital with concurrent AMI of the inferior left ventricular wall, complicated by cardiogenic shock and transient complete heart block, and AIS of more than 4.5 hour duration. The cerebral computerized tomography angiography revealed a right-sided terminal internal carotid artery (ICA) occlusion, and the coronary angiogram depicted double vessel disease with a culprit lesion in the right coronary artery (RCA). The patient underwent mechanical thrombectomy for the ICA occlusion by an interventional neuroradiologist followed by the primary percutaneous coronary intervention of the culprit RCA by the interventional cardiologists in the same setting. CONCLUSION: A patient with concurrent AMI and AIS is a challenging situation to treat in the emergency department, and the treatment must be individualized for each patient. Hindawi 2023-04-13 /pmc/articles/PMC10118898/ /pubmed/37090197 http://dx.doi.org/10.1155/2023/9986712 Text en Copyright © 2023 Vijay Yadav et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Yadav, Vijay Gajurel, Ratna Mani Poudel, Chandra Mani Thapa, Paras Sharma, Manju Shrestha, Suraj A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
title | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
title_full | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
title_fullStr | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
title_full_unstemmed | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
title_short | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
title_sort | rare coexistence of simultaneous cardio-cerebral infarction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118898/ https://www.ncbi.nlm.nih.gov/pubmed/37090197 http://dx.doi.org/10.1155/2023/9986712 |
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