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2019, Number 2

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Cardiovasc Metab Sci 2019; 30 (2)

Non-hyperacute synchronous cardio-cerebral infarction treated by double intervensionist therapy

Plata-Corona JC, Cerón-Morales JA, Lara-Solís B

Language: English
References: 40
Page: 66-75
PDF size: 363.29 Kb.


ABSTRACT

Introduction: The simultaneous appearance of the acute myocardial infarction (AMI) and acute ischemic stroke (AIS) is known as cardio-cerebral infarction (CCI); this condition is extremely rare, and thus complex to treat. There is normally a subjacent cause that triggers these two events to occur simultaneously. Nonetheless, the timely recognition of these conditions is challenging and most of the times is only confirmed by an autopsy. Objectives: This article investigates the epidemiology, the physiopathology and the treatment of CCI within the existing literature. Clinical case: A 46-years-old male, who is diagnosed of CCI after 5 hours his clinical condition starts. We decided to carry out a double percutaneous approach; intra-arterial thrombolysis plus mechanical thrombectomy of the middle-right cerebral artery (MRCA) was performed, in addition to this, a coronariography with angioplasty and stenting in the proximal segment of the left anterior descending artery (LAD). Results: The patient’s clinical recuperation was fast and favorable, discharged on the third day without any registry of cardiac failure and a modified Rankin score (mRS) of 2, and 0 at one month. Conclusion: CCI is a clinical case very uncommon and generally devastating. Further information is needed to establish an ideal treatment strategy that may lead to better results. Nonetheless, the rarity of the condition makes it difficult to perform clinical trials. Based on the results obtained in this particular case, a combined endovascular approach is suggested in patients with non-hyperacute synchronous CCI.


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