A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report
The coexistence of acute ischemic stroke and acute myocardial infarction is rare. The reperfusion therapy used in the therapeutic window is the golden standard in the treatment of both diseases. We present a case of successful aspiration thrombectomy circumflex anterior artery and effective mechani...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2018-09-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/25761 |
| _version_ | 1818249206935060480 |
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| author | Iwona Rutkowska Agnieszka Górska Remigiusz Sokołowski Magdalena Konieczna-Brazis Milena Świtońska Paulina Sobieszak-Skura Walery Zukow Violetta Palacz-Duda |
| author_facet | Iwona Rutkowska Agnieszka Górska Remigiusz Sokołowski Magdalena Konieczna-Brazis Milena Świtońska Paulina Sobieszak-Skura Walery Zukow Violetta Palacz-Duda |
| author_sort | Iwona Rutkowska |
| collection | DOAJ |
| description | The coexistence of acute ischemic stroke and acute myocardial infarction is rare. The reperfusion therapy used in the therapeutic window is the golden standard in the treatment of both diseases. We present a case of successful aspiration thrombectomy circumflex anterior artery and effective mechanical thrombectomy of the right internal carotid artery in a 49 - year-old female patient with myocardial infarction and ischemic stroke. When admitted in a neurological examination she received 16 points. on the NIHSS scale. The patient was discharged from the clinic as an independent, with slight hemiparesis (NIHSS 4 points). The result of recanalization was 3 points in the TICI scale. After intravascular treatment, the patient was advised to use anticoagulant therapy due to arterial thrombosis in two vascular areas and a high probability of thrombophilia until complete diagnostics. During the hospitalization, cardiovascular diseases were diagnosed. Transesophageal echocardiography showed a left-right flow through Botallio foramen width of 3 mm, with no visible reversal of leakage after contrast administration. After 3 months, tests were performed that did not confirm thrombophilia. The question of closing the surviving Botallio foramen, re-performing Holter and further genetic testing remains to be considered. |
| first_indexed | 2024-12-12T15:32:49Z |
| format | Article |
| id | doaj.art-09aebc4b7b6a47149ecbf25af8999981 |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-12-12T15:32:49Z |
| publishDate | 2018-09-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-09aebc4b7b6a47149ecbf25af89999812022-12-22T00:20:05ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062018-09-01810A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case reportIwona Rutkowska0Agnieszka Górska1Remigiusz Sokołowski2Magdalena Konieczna-Brazis3Milena Świtońska4Paulina Sobieszak-Skura5Walery ZukowVioletta Palacz-Duda6Clinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczClinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczClinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz Department of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczClinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczClinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczClinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczClinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczThe coexistence of acute ischemic stroke and acute myocardial infarction is rare. The reperfusion therapy used in the therapeutic window is the golden standard in the treatment of both diseases. We present a case of successful aspiration thrombectomy circumflex anterior artery and effective mechanical thrombectomy of the right internal carotid artery in a 49 - year-old female patient with myocardial infarction and ischemic stroke. When admitted in a neurological examination she received 16 points. on the NIHSS scale. The patient was discharged from the clinic as an independent, with slight hemiparesis (NIHSS 4 points). The result of recanalization was 3 points in the TICI scale. After intravascular treatment, the patient was advised to use anticoagulant therapy due to arterial thrombosis in two vascular areas and a high probability of thrombophilia until complete diagnostics. During the hospitalization, cardiovascular diseases were diagnosed. Transesophageal echocardiography showed a left-right flow through Botallio foramen width of 3 mm, with no visible reversal of leakage after contrast administration. After 3 months, tests were performed that did not confirm thrombophilia. The question of closing the surviving Botallio foramen, re-performing Holter and further genetic testing remains to be considered.https://apcz.umk.pl/JEHS/article/view/25761ischemic strokemyocardial infarctioninterventional treatment |
| spellingShingle | Iwona Rutkowska Agnieszka Górska Remigiusz Sokołowski Magdalena Konieczna-Brazis Milena Świtońska Paulina Sobieszak-Skura Walery Zukow Violetta Palacz-Duda A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report Journal of Education, Health and Sport ischemic stroke myocardial infarction interventional treatment |
| title | A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report |
| title_full | A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report |
| title_fullStr | A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report |
| title_full_unstemmed | A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report |
| title_short | A patient with ischemic stroke and myocardial infarction undergoing interventional treatment - a case report |
| title_sort | patient with ischemic stroke and myocardial infarction undergoing interventional treatment a case report |
| topic | ischemic stroke myocardial infarction interventional treatment |
| url | https://apcz.umk.pl/JEHS/article/view/25761 |
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