Aortic Dissection after Intravenous Thrombolysis in Acute Cerebral Infarction / 고신대학교의과대학학술지
Kosin Medical Journal
; : 127-132, 2017.
Article
em En
| WPRIM
| ID: wpr-149273
Biblioteca responsável:
WPRO
ABSTRACT
Use of recombinant tissue plasminogen activator (rt-PA) for the treatment of acute cerebral infarction secondary to aortic dissection is challenging because of a narrow time window and potential life-threatening complications. An 80-year-old woman with right middle cerebral artery infarction was treated with rt-PA. Although she had no history, symptoms, or sign of aortic dissection, carotid CT angiography revealed aortic arch dissection. Mediastinal widening, which did not show on initial chest X-ray, developed on follow-up chest X-ray. This observation indicates that physicians should monitor patient symptoms for signs of aortic dissection during thrombolysis and perform chest X-ray or carotid angiography immediately after thrombolysis even if the patient has no symptoms or signs of aortic dissection on onset of acute cerebral infarction.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Aorta Torácica
/
Tórax
/
Angiografia
/
Terapia Trombolítica
/
Infarto Cerebral
/
Seguimentos
/
Ativador de Plasminogênio Tecidual
/
Infarto da Artéria Cerebral Média
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
Kosin Medical Journal
Ano de publicação:
2017
Tipo de documento:
Article