Acute Embolic Cerebral Infarction and Coronary Artery Embolism in a Patient with Atrial Fibrillation Caused by Similar Thrombi.
Although atrial fibrillation (AF) is one of the most frequent causes of ischemic stroke, coronary artery embolism (CE) from AF is rare, and 2.9% of all myocardial infarctions are caused by CE. We present a case of an 87-year-old female patient who suffered ischemic stroke and myocardial infarction at the same time and received intracranial and coronary thrombectomy. Pathological investigation revealed that thrombi were similar and both infarctions were considered as cardioembolism.
Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan.
Kou
K
Tokuda
Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan; Department of Neurology, Graduate School of Medical Science, Kumamoto University, Kumamoto, Japan.
Seigo
S
Shindo
Department of Neurosurgery, Sato Daiichi Hospital, Oita, Japan.
Kiyofumi
K
Yamada
Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan.
Manabu
M
Shirakawa
Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan.
Kazutaka
K
Uchida
Cardiovascular Division, Hyogo College of Medicine, Nishinomiya, Japan.
Tetsuo
T
Horimatsu
Cardiovascular Division, Hyogo College of Medicine, Nishinomiya, Japan.
Masaharu
M
Ishihara
Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan. Electronic address: shinyoshi523@gmail.com.
Shinichi
S
Yoshimura
D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000150:complications* / Q000175:diagnosis; D006348:Cardiac Surgical Procedures; D002533:Cerebral Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D038524:Diffusion Magnetic Resonance Imaging; D004562:Electrocardiography; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017131:Thrombectomy; D016896:Treatment Outcome
Ischemic infarction; cardioembolism; coronary artery embolism; thrombectomy