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

被引：3

作者：

Morihara, Ryuta ^{[1
,2
,3
]}

Yamashita, Toru ^{[1
,2
,3
]}

Deguchi, Kentaro ^{[1
,2
,3
]}

Tsunoda, Keiichiro ^{[1
,2
,3
]}

Manabe, Yasuhiro ^{[4
]}

Takahashi, Yoshiaki ^{[4
]}

Yunoki, Taijun ^{[1
,2
,3
]}

Sato, Kota ^{[1
,2
,3
]}

Nakano, Yumiko ^{[1
,2
,3
]}

Kono, Syoichiro ^{[4
]}

Ohta, Yasuyuki ^{[1
,2
,3
]}

Hishikawa, Nozomi ^{[1
,2
,3
]}

Abe, Koji ^{[1
,2
,3
]}

机构：

[1] Okayama Univ, Grad Sch Med, Dept Neurol, Okayama, Japan

[2] Okayama Univ, Grad Sch Med, Dept Dent, Okayama, Japan

[3] Okayama Univ, Grad Sch Med, Dept Pharmaceut Sci, Okayama, Japan

[4] Okayama Natl Hosp, Dept Neurol, Med Ctr, Okayama, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 17期

关键词：

aortic dissection; hemorrhagic transformation; ischemic stroke; recombinant tissue plasminogen activator; TISSUE-PLASMINOGEN ACTIVATOR; A DISSECTION; CEREBRAL MALPERFUSION; SURGICAL DELAY; REPAIR; GUIDELINES; THROMBOLYSIS; INTERVENTION; ASSOCIATION; MANAGEMENT;

D O I：

10.2169/internalmedicine.8438-16

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：2343 / 2346

页数：4

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