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Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review

BACKGROUND: Cardiocerebral infarction (CCI) is a rare entity that refers to the simultaneous occurrence of acute myocardial infarction and acute ischemic stroke. The management of CCI patients remains unclear. CASE DESCRIPTION: An 86-year-old woman with a medical history of paroxysmal atrial fibrill...

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Autores principales: Nakajima, Hideki, Tsuchiya, Takuro, Shimizu, Shigetoshi, Watanabe, Kiyotaka, Kitamura, Tetsuya, Suzuki, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609951/
https://www.ncbi.nlm.nih.gov/pubmed/36324934
http://dx.doi.org/10.25259/SNI_593_2022
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author Nakajima, Hideki
Tsuchiya, Takuro
Shimizu, Shigetoshi
Watanabe, Kiyotaka
Kitamura, Tetsuya
Suzuki, Hidenori
author_facet Nakajima, Hideki
Tsuchiya, Takuro
Shimizu, Shigetoshi
Watanabe, Kiyotaka
Kitamura, Tetsuya
Suzuki, Hidenori
author_sort Nakajima, Hideki
collection PubMed
description BACKGROUND: Cardiocerebral infarction (CCI) is a rare entity that refers to the simultaneous occurrence of acute myocardial infarction and acute ischemic stroke. The management of CCI patients remains unclear. CASE DESCRIPTION: An 86-year-old woman with a medical history of paroxysmal atrial fibrillation presented with a sudden onset of consciousness disturbance and right hemiplegia. Computed tomography of the head revealed no intracranial hemorrhage but the left hyperdense middle cerebral artery sign, associated with ST-segment elevation in II, III, and aVF noted on a routine 12-lead electrocardiogram at admission. The patient was immediately brought to the catheterization laboratory and percutaneous coronary intervention (PCI) was performed first, followed by mechanical thrombectomy, resulting in successful revascularization of the both diseases. CONCLUSION: Although the treatment strategy of CCI may depend on the condition of coronary and cerebral ischemia, it may be appropriate to prioritize coronary angiography and PCI if not acute ischemic stroke is critical.
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spelling pubmed-96099512022-11-01 Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review Nakajima, Hideki Tsuchiya, Takuro Shimizu, Shigetoshi Watanabe, Kiyotaka Kitamura, Tetsuya Suzuki, Hidenori Surg Neurol Int Case Report BACKGROUND: Cardiocerebral infarction (CCI) is a rare entity that refers to the simultaneous occurrence of acute myocardial infarction and acute ischemic stroke. The management of CCI patients remains unclear. CASE DESCRIPTION: An 86-year-old woman with a medical history of paroxysmal atrial fibrillation presented with a sudden onset of consciousness disturbance and right hemiplegia. Computed tomography of the head revealed no intracranial hemorrhage but the left hyperdense middle cerebral artery sign, associated with ST-segment elevation in II, III, and aVF noted on a routine 12-lead electrocardiogram at admission. The patient was immediately brought to the catheterization laboratory and percutaneous coronary intervention (PCI) was performed first, followed by mechanical thrombectomy, resulting in successful revascularization of the both diseases. CONCLUSION: Although the treatment strategy of CCI may depend on the condition of coronary and cerebral ischemia, it may be appropriate to prioritize coronary angiography and PCI if not acute ischemic stroke is critical. Scientific Scholar 2022-10-21 /pmc/articles/PMC9609951/ /pubmed/36324934 http://dx.doi.org/10.25259/SNI_593_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Nakajima, Hideki
Tsuchiya, Takuro
Shimizu, Shigetoshi
Watanabe, Kiyotaka
Kitamura, Tetsuya
Suzuki, Hidenori
Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review
title Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review
title_full Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review
title_fullStr Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review
title_full_unstemmed Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review
title_short Endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: A case report and literature review
title_sort endovascular therapy for cardiocerebral infarction associated with atrial fibrillation: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609951/
https://www.ncbi.nlm.nih.gov/pubmed/36324934
http://dx.doi.org/10.25259/SNI_593_2022
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