Acute pontine infarction after percutaneous coronary intervention: a very rare but devastating complication

A 64-year-old man suffering from an acute posterior wall myocardial infarction underwent primary percutaneous coronary intervention. After several aspiration attempts, tirofiban infusion and pre- and post-dilatation, a bare-metal stent was successfully implanted in the culprit right coronary artery....

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Detalles Bibliográficos
Autores principales: Arslan, F., Mair, J., Franz, W.-M., Otten, M., van Lelyveld, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2015
Materias:
Heart Beat
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4497994/
https://www.ncbi.nlm.nih.gov/pubmed/26037684
http://dx.doi.org/10.1007/s12471-015-0717-2
Descripción
Sumario:A 64-year-old man suffering from an acute posterior wall myocardial infarction underwent primary percutaneous coronary intervention. After several aspiration attempts, tirofiban infusion and pre- and post-dilatation, a bare-metal stent was successfully implanted in the culprit right coronary artery. While the patient did not show any neurological symptoms before or during the procedure, he exhibited hemiplegia and loss of spontaneous speech. Additional magnetic resonance imaging showed an extensive brain stem infarction. This is the first report of a brain stem infarction as a complication of percutaneous coronary intervention. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s12471-015-0717-2) contains supplementary material, which is available to authorized users.

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