Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke

  • Choi, Nari (Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine) ;
  • Yoon, Jee-Eun (Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine) ;
  • Park, Byoung-Won (Department of Cardiology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine) ;
  • Chang, Won-Ho (Department of Thoracic Surgery, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine) ;
  • Kim, Hyun-Jo (Department of Thoracic Surgery, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine) ;
  • Lee, Kyung Bok (Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine)
  • Received : 2016.01.20
  • Accepted : 2016.04.26
  • Published : 2016.10.05
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Abstract

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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References

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