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Young Rok Do 1 Article
Aortic Dissection after Intravenous Thrombolysis in Acute Cerebral Infarction
Young Rok Do
Kosin Med J. 2017;32(1):127-132.   Published online June 30, 2017
DOI: https://doi.org/10.7180/kmj.2017.32.1.127
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Abstract PDFPubReader   ePub   

Use of recombinant tissue plasminogen activator (rt-PA) for the treatment of acute cerebral infarction secondary to aortic dissection is challenging because of a narrow time window and potential life-threatening complications. An 80-year-old woman with right middle cerebral artery infarction was treated with rt-PA. Although she had no history, symptoms, or sign of aortic dissection, carotid CT angiography revealed aortic arch dissection. Mediastinal widening, which did not show on initial chest X-ray, developed on follow-up chest X-ray. This observation indicates that physicians should monitor patient symptoms for signs of aortic dissection during thrombolysis and perform chest X-ray or carotid angiography immediately after thrombolysis even if the patient has no symptoms or signs of aortic dissection on onset of acute cerebral infarction.

Citations

Citations to this article as recorded by  
  • Successful intravenous thrombolysis for acute ischemic stroke caused by aortic dissection with severe hypofibrinogenemia: a case report and literature review
    Liming Cao, Xuming Huang, Fei-qi Zui
    International Journal of Neuroscience.2022; 132(9): 939.     CrossRef
  • Clinical Usefulness of Common Carotid Artery Dissection in Carotid Ultrasound for the Diagnosis of Asymptomatic Aortic Dissection
    Seon-Jae Im, Hyun Young Park
    Journal of the Korean Neurological Association.2020; 38(1): 66.     CrossRef

KMJ : Kosin Medical Journal