[Delayed Diagnosis of Aortic Dissection Following Thrombolytic Therapy in a Patient with Acute Ischemic Stroke;Report of a Case].
Diagnosis of aortic dissection complicating cerebral ischemic stroke is difficult. A 60-year-old patient presented at an emergency department of a hospital with a sudden development of left-sided weakness, but without chest pain. During administration of recombinant tissue plasminogen activator with diagnosis of cerebral infarction, he developed symptomatic hypotension and was transferred to our hospital. His chest computed tomography revealed Stanford type A aortic dissection. Replacement of the ascending aorta and aortic arch was successfully performed on the 4th day.
Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Okayama, Japan.
Yosuke
Y
Miyamoto
Zenichi
Z
Masuda
Yasuhiro
Y
Kotani
Suguru
S
Tarui
Yosuke
Y
Kuroko
Yasuhiro
Y
Fujii
Susumu
S
Ozawa
Shunji
S
Sano
D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D002544:Cerebral Infarction / Q000188:drug therapy*; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000188:drug therapy*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator