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KMID : 0364020160490050392
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 5 p.392 ~ p.396
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Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
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Choi Na-Ri
Yoon Jee-Eun
Park Byoung-Won
Chang Won-Ho
Kim Hyun-Jo
Lee Kyung-Bok
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Abstract
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We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.
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KEYWORD
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Aortic dissection, Stroke, Thrombolysis
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