Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection

The diagnosis of aortic dissection (AD) is sometimes difficult within the limited time window of recombinant tissue plasminogen activator (tPA) for ischemic stroke (IS). A 60-year-old man developed sudden left hemiparesis due to IS. During tPA infusion, his blood pressure dropped and consciousness d...

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Autores principales: Morihara, Ryuta, Yamashita, Toru, Deguchi, Kentaro, Tsunoda, Keiichiro, Manabe, Yasuhiro, Takahashi, Yoshiaki, Yunoki, Taijun, Sato, Kota, Nakano, Yumiko, Kono, Syoichiro, Ohta, Yasuyuki, Hishikawa, Nozomi, Abe, Koji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635312/
https://www.ncbi.nlm.nih.gov/pubmed/28794365
http://dx.doi.org/10.2169/internalmedicine.8438-16
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author Morihara, Ryuta
Yamashita, Toru
Deguchi, Kentaro
Tsunoda, Keiichiro
Manabe, Yasuhiro
Takahashi, Yoshiaki
Yunoki, Taijun
Sato, Kota
Nakano, Yumiko
Kono, Syoichiro
Ohta, Yasuyuki
Hishikawa, Nozomi
Abe, Koji
author_facet Morihara, Ryuta
Yamashita, Toru
Deguchi, Kentaro
Tsunoda, Keiichiro
Manabe, Yasuhiro
Takahashi, Yoshiaki
Yunoki, Taijun
Sato, Kota
Nakano, Yumiko
Kono, Syoichiro
Ohta, Yasuyuki
Hishikawa, Nozomi
Abe, Koji
author_sort Morihara, Ryuta
collection PubMed
description The diagnosis of aortic dissection (AD) is sometimes difficult within the limited time window of recombinant tissue plasminogen activator (tPA) for ischemic stroke (IS). A 60-year-old man developed sudden left hemiparesis due to IS. During tPA infusion, his blood pressure dropped and consciousness declined. After transfer to our hospital, carotid duplex ultrasonography led to a diagnosis of AD. Emergency surgery was postponed because of the risk of hemorrhagic transformation. The patient successfully underwent aortic surgery on day 5 and was discharged with a remarkable improvement in his symptoms. Delayed surgery may avoid hemorrhagic transformation in patients with AD-induced IS who have received tPA.
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spelling pubmed-56353122017-10-12 Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection Morihara, Ryuta Yamashita, Toru Deguchi, Kentaro Tsunoda, Keiichiro Manabe, Yasuhiro Takahashi, Yoshiaki Yunoki, Taijun Sato, Kota Nakano, Yumiko Kono, Syoichiro Ohta, Yasuyuki Hishikawa, Nozomi Abe, Koji Intern Med Case Report The diagnosis of aortic dissection (AD) is sometimes difficult within the limited time window of recombinant tissue plasminogen activator (tPA) for ischemic stroke (IS). A 60-year-old man developed sudden left hemiparesis due to IS. During tPA infusion, his blood pressure dropped and consciousness declined. After transfer to our hospital, carotid duplex ultrasonography led to a diagnosis of AD. Emergency surgery was postponed because of the risk of hemorrhagic transformation. The patient successfully underwent aortic surgery on day 5 and was discharged with a remarkable improvement in his symptoms. Delayed surgery may avoid hemorrhagic transformation in patients with AD-induced IS who have received tPA. The Japanese Society of Internal Medicine 2017-08-10 2017-09-01 /pmc/articles/PMC5635312/ /pubmed/28794365 http://dx.doi.org/10.2169/internalmedicine.8438-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Morihara, Ryuta
Yamashita, Toru
Deguchi, Kentaro
Tsunoda, Keiichiro
Manabe, Yasuhiro
Takahashi, Yoshiaki
Yunoki, Taijun
Sato, Kota
Nakano, Yumiko
Kono, Syoichiro
Ohta, Yasuyuki
Hishikawa, Nozomi
Abe, Koji
Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection
title Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection
title_full Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection
title_fullStr Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection
title_full_unstemmed Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection
title_short Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection
title_sort successful delayed aortic surgery for a patient with ischemic stroke secondary to aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635312/
https://www.ncbi.nlm.nih.gov/pubmed/28794365
http://dx.doi.org/10.2169/internalmedicine.8438-16
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