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Pneumatic-aorta: an unusual aetiology for stroke

The following report describes a case in which air in the aorta led to stroke from cerebral emboli in a patient with distal oesophageal cancer. The patient presented with clinical features of a right-sided stroke. Computed tomography scans revealed air in the ascending aorta and brachiocephalic arte...

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Detalles Bibliográficos
Autores principales: Mazhar, Khurum, Narain, Aditya, Mohamed, Saifullah, Patel, Akshay J, Abid, Qamar, Bouras, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332284/
https://www.ncbi.nlm.nih.gov/pubmed/32665833
http://dx.doi.org/10.1093/jscr/rjaa193
Descripción
Sumario:The following report describes a case in which air in the aorta led to stroke from cerebral emboli in a patient with distal oesophageal cancer. The patient presented with clinical features of a right-sided stroke. Computed tomography scans revealed air in the ascending aorta and brachiocephalic artery as a result of an oesophago-atrial fistula. The patient deteriorated and died soon after hospital admission despite conservative measures successfully dissipating the air. When encountered, emergent treatment of the underlying cause should be addressed but the outcome remains poor.