Open AccessAcute ischemic Stroke combined with Stanford type A aortic dissection: A case report and literature review
Author(s) -
Zhimin He,
Lin Yao,
Xiaoke Wang,
Nai-Yun Chen,
Junjie Zhao,
Qian Zhou,
Xiaofeng Yang
Publication year - 2022
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v10.i22.8009
Subject(s) - medicine , aortic dissection , ascending aorta , stroke (engine) , surgery , dissection (medical) , hemiparesis , radiology , aorta , cardiology , angiography , mechanical engineering , engineering
Acute aortic dissection (AAD) is a high mortality disease that can lead to acute ischemic strokes (AIS). Some of the patients with AAD combined with AIS initially present with neurological symptoms, which can easily lead to missed or delayed AAD diagnosis. This is attributed to the lack of physician awareness or the urgency of patient thrombolysis. Intravenous administration of thrombolytic therapy (IVT) for AAD is associated with poor prognostic outcomes. We report a patient with AIS combined with AAD who developed a massive cerebral infarction after receiving IVT for a missed AAD diagnosis.