Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke

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 hemisphe...

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Detalles Bibliográficos
Autores principales: Choi, Nari, Yoon, Jee-Eun, Park, Byoung-Won, Chang, Won-Ho, Kim, Hyun-Jo, Lee, Kyung Bok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059128/
https://www.ncbi.nlm.nih.gov/pubmed/27734002
http://dx.doi.org/10.5090/kjtcs.2016.49.5.392
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author Choi, Nari
Yoon, Jee-Eun
Park, Byoung-Won
Chang, Won-Ho
Kim, Hyun-Jo
Lee, Kyung Bok
author_facet Choi, Nari
Yoon, Jee-Eun
Park, Byoung-Won
Chang, Won-Ho
Kim, Hyun-Jo
Lee, Kyung Bok
author_sort Choi, Nari
collection PubMed
description 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.
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spelling pubmed-50591282016-10-12 Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke Choi, Nari Yoon, Jee-Eun Park, Byoung-Won Chang, Won-Ho Kim, Hyun-Jo Lee, Kyung Bok Korean J Thorac Cardiovasc Surg Case Report 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. The Korean Society for Thoracic and Cardiovascular Surgery 2016-10 2016-10-05 /pmc/articles/PMC5059128/ /pubmed/27734002 http://dx.doi.org/10.5090/kjtcs.2016.49.5.392 Text en Copyright © 2016 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Choi, Nari
Yoon, Jee-Eun
Park, Byoung-Won
Chang, Won-Ho
Kim, Hyun-Jo
Lee, Kyung Bok
Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
title Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
title_full Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
title_fullStr Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
title_full_unstemmed Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
title_short Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
title_sort delayed surgery for aortic dissection after intravenous thrombolysis in acute ischemic stroke
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059128/
https://www.ncbi.nlm.nih.gov/pubmed/27734002
http://dx.doi.org/10.5090/kjtcs.2016.49.5.392
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