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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...

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Autores principales: Yadav, Vijay, Gajurel, Ratna Mani, Poudel, Chandra Mani, Thapa, Paras, Sharma, Manju, Shrestha, Suraj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
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.
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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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