Delayed Diagnosis of Aortic Dissection Following Thrombolytic Therapy in a Patient with Acute Ischemic Stroke;Report of a Case

Yosuke Miyamoto, Zenichi Masuda, Yasuhiro Kotani, Suguru Tarui, Yosuke Kuroko, Yasuhiro Fujii, Susumu Ozawa, Shunji Sano

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1037-1040
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume69
Issue number12
Publication statusPublished - Nov 1 2016

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Delayed Diagnosis
Thrombolytic Therapy
Dissection
Stroke
Cerebral Infarction
Tissue Plasminogen Activator
Chest Pain
Thoracic Aorta
Hypotension
Aorta
Hospital Emergency Service
Thorax
Tomography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Delayed Diagnosis of Aortic Dissection Following Thrombolytic Therapy in a Patient with Acute Ischemic Stroke;Report of a Case. / Miyamoto, Yosuke; Masuda, Zenichi; Kotani, Yasuhiro; Tarui, Suguru; Kuroko, Yosuke; Fujii, Yasuhiro; Ozawa, Susumu; Sano, Shunji.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 69, No. 12, 01.11.2016, p. 1037-1040.

Research output: Contribution to journalArticle

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