Ischaemic infarction masking aortic dissection: a pitfall to be avoided before thrombolysis
| Autor: | Ju Fen Yeh, Helen Po, Chen Yen Chien |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Infarction Critical Care and Intensive Care Medicine Article Emergency Casebook Aortic aneurysm Internal medicine Ischaemic stroke medicine Humans Thrombolytic Therapy In patient cardiovascular diseases Stroke Aortic dissection business.industry Contraindications Infarction Middle Cerebral Artery General Medicine Thrombolysis Middle Aged medicine.disease Aortic Aneurysm Radiography Aortic Dissection Treatment Outcome Carotid bruit Emergency Medicine Cardiology cardiovascular system Female Radiology medicine.symptom business Rare disease |
| Zdroj: | Case Reports. 2009:bcr1020081146-bcr1020081146 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr.10.2008.1146 |
| Popis: | Acute aortic dissection complicated by stroke is not uncommon but may be difficult to evaluate, especially in patients with impaired mental status. This report describes a patient who had evidence of an ischaemic stroke but was fortuitously not given thrombolytic treatment. She was subsequently found to have an extensive aortic dissection involving both carotid arteries. The decision of whether to give thrombolytic treatment is understandably an urgent one, but careful attention should be paid to subtle signs and symptoms such as atypical chest pain and carotid bruits that might suggest aortic dissection, especially involving the carotid arteries. There should be a high index of suspicion for acute aortic dissection in such cases and a low threshold for performing carotid ultrasound. |
| Databáze: | OpenAIRE |
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