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KMID : 1141320170320010127
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Kosin Medical Journal
2017 Volume.32 No. 1 p.127 ~ p.132
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Aortic Dissection after Intravenous Thrombolysis in Acute Cerebral Infarction
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Do Young-Rok
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Abstract
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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.
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KEYWORD
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Cerebral infarction, Dissection, Thrombolytic therapy
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