[Non-hemorrhagic stroke, of possible aortoembolic origin, in the course of acute myocardial infarct treated with thrombolysis].
We describe the case of a middle-aged man with nonhemorrhagic stroke occurred during thrombolysis for acute myocardial infarction. The ischemic etiology of stroke was demonstrated by cerebral computed tomography scan. Transthoracic echocardiogram excluded left ventricular thrombosis. Transesophageal echocardiogram displayed complicated atheromas of the aortic arch. The reported case emphasizes that aortic atheromas may be the source of emboli during thrombolytic therapy.
De Simone
Nicola
N
U.O. di Cardiologia, Azienda USL Bologna Nord, Ospedale di Bentivoglio, BO. nick09@infinito.it
Sassone
Biagio
B
Vinelli
Simonetta
S
Pancaldi
Leonardo Goffredo
LG
Di Pasquale
Giuseppe
G
D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D001161:Arteriosclerosis / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D011859:Radiography; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology*; D015912:Thrombolytic Therapy; D014463:Ultrasonography