Internal medicine (Tokyo, Japan) · 2017
Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Morihara Ryuta, Yamashita Toru, Deguchi Kentaro, Tsunoda Keiichiro, Manabe Yasuhiro, Takahashi Yoshiaki, Yunoki Taijun, Sato Kota, Nakano Yumiko, Kono Syoichiro, Ohta Yasuyuki, Hishikawa Nozomi, Abe Koji
Аннотация
The diagnosis of aortic dissection (AD) is sometimes difficult within the limited time window of recombinant tissue plasminogen activator (tPA) for ischemic stroke (IS). A 60-year-old man developed sudden left hemiparesis due to IS. During tPA infusion, his blood pressure dropped and consciousness declined. After transfer to our hospital, carotid duplex ultrasonography led to a diagnosis of AD. Emergency surgery was postponed because of the risk of hemorrhagic transformation. The patient successfully underwent aortic surgery on day 5 and was discharged with a remarkable improvement in his symptoms. Delayed surgery may avoid hemorrhagic transformation in patients with AD-induced IS who have received tPA.