Intra-arterial thrombolysis for left middle cerebral artery embolic stroke during percutaneous mitral commissurotomy.
Cerebral thromboembolism is a serious complication. Early recognition and rapid reperfusion can prevent long-term neurological morbidity. We report a case of successful intra-arterial thrombolysis for middle cerebral artery embolic stroke during percutaneous mitral commissurotomy, which resulted in complete neurological recovery.
Vijayakumar
M
M
Amrita Institute of Medical Sciences and Research Centre, Kerala, India.
Rajesh
T
T
Kumar
Prasanna
P
Haridas
K K
KK
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002533:Cerebral Angiography; D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D007261:Infusions, Intra-Arterial; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010960:Plasminogen Activators / Q000627:therapeutic use*; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D000925:Anticoagulants; D006493:Heparin; D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator