A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction
Background. Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Pre...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2023/9986712 |
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| author | Vijay Yadav Ratna Mani Gajurel Chandra Mani Poudel Paras Thapa Manju Sharma Suraj Shrestha |
| author_facet | Vijay Yadav Ratna Mani Gajurel Chandra Mani Poudel Paras Thapa Manju Sharma Suraj Shrestha |
| author_sort | Vijay Yadav |
| collection | DOAJ |
| description | Background. Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Presentation. A 60-year-old woman presented to our hospital with concurrent AMI of the inferior left ventricular wall, complicated by cardiogenic shock and transient complete heart block, and AIS of more than 4.5 hour duration. The cerebral computerized tomography angiography revealed a right-sided terminal internal carotid artery (ICA) occlusion, and the coronary angiogram depicted double vessel disease with a culprit lesion in the right coronary artery (RCA). The patient underwent mechanical thrombectomy for the ICA occlusion by an interventional neuroradiologist followed by the primary percutaneous coronary intervention of the culprit RCA by the interventional cardiologists in the same setting. Conclusion. A patient with concurrent AMI and AIS is a challenging situation to treat in the emergency department, and the treatment must be individualized for each patient. |
| format | Article |
| id | doaj-art-0886ce5b907a4820bc50202492981312 |
| institution | DOAJ |
| issn | 2090-6412 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-0886ce5b907a4820bc502024929813122025-08-20T03:17:04ZengWileyCase Reports in Cardiology2090-64122023-01-01202310.1155/2023/9986712A Rare Coexistence of Simultaneous Cardio-Cerebral InfarctionVijay Yadav0Ratna Mani Gajurel1Chandra Mani Poudel2Paras Thapa3Manju Sharma4Suraj Shrestha5Department of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of RadiologyDepartment of CardiologyMaharajgunj Medical CampusBackground. Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Presentation. A 60-year-old woman presented to our hospital with concurrent AMI of the inferior left ventricular wall, complicated by cardiogenic shock and transient complete heart block, and AIS of more than 4.5 hour duration. The cerebral computerized tomography angiography revealed a right-sided terminal internal carotid artery (ICA) occlusion, and the coronary angiogram depicted double vessel disease with a culprit lesion in the right coronary artery (RCA). The patient underwent mechanical thrombectomy for the ICA occlusion by an interventional neuroradiologist followed by the primary percutaneous coronary intervention of the culprit RCA by the interventional cardiologists in the same setting. Conclusion. A patient with concurrent AMI and AIS is a challenging situation to treat in the emergency department, and the treatment must be individualized for each patient.http://dx.doi.org/10.1155/2023/9986712 |
| spellingShingle | Vijay Yadav Ratna Mani Gajurel Chandra Mani Poudel Paras Thapa Manju Sharma Suraj Shrestha A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction Case Reports in Cardiology |
| title | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
| title_full | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
| title_fullStr | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
| title_full_unstemmed | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
| title_short | A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction |
| title_sort | rare coexistence of simultaneous cardio cerebral infarction |
| url | http://dx.doi.org/10.1155/2023/9986712 |
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