Ralea I-C, Rioufol G, Cakmak S, Derex L, Nighoghossian N
Cerebrovascular unit, University Claude Bernard, Lyon, France.
J Stroke Cerebrovasc Dis. 2009 Mar-Apr;18(2):167-70. doi: 10.1016/j.jstrokecerebrovasdis.2008.09.008.
Although brain embolism is a uncommon complication of myocardial infarction, sequential treatment of cerebral and coronary artery occlusion within a 4-hour time window is unusual.
of case A 60 year-old man experienced successful intravenous recombinant thrombolysis (tPA) for acute middle cerebral artery (MCA) occlusion followed by efficient angioplasty stenting of a troponin-negative coronary occlusion which, while painless, involved clear electrocardiographic abnormalities. Both pathologies were treated within a 4-hour time window.
Acute brain and heart ischemia may be successfully treated within a 4-hour time window, thanks to an efficient multidisciplinary approach.
