RESUMO
A case of acute aortic dissection complicating acute inferior myocardial infarction diagnosed by accidentally inserting the catheters into the false lumen during the emergency cardiac catheterization is reported. Although the incidence of acute aortic dissection developing acute myocardial infarction is not very rare, an aortogram and coronary angiogram via the false lumen has never been seen before. This case also illustrates how myocardial infarction can mask aortic dissection. Cardiologists should pay more attention to this severe complication of acute aortic dissection and perform transthoracic echocardiography prior to catheterization or fibrinolysis.
Assuntos
Aneurisma Aórtico/complicações , Dissecção Aórtica/complicações , Cateterismo Cardíaco , Infarto do Miocárdio/diagnóstico , Doença Aguda , Idoso , Dissecção Aórtica/diagnóstico por imagem , Aneurisma Aórtico/diagnóstico por imagem , Angiografia Coronária , Feminino , Humanos , Infarto do Miocárdio/etiologia , Radiografia TorácicaRESUMO
The case of a 43-year-old Taiwanese man who presented with spinal epidural hematoma following intravenous administration of recombinant tissue plasminogen activator (rTPA) and heparin therapy for acute myocardial infarction (AMI) is reported. Upper back pain and progressive neurological dysfunction ensued, secondary to spinal epidural hematoma with spinal cord compression. The patient did not recover neurologic function postsurgically, possibly because the operation was delayed. In conclusion, cardiologists should be alert to this rare, severe complication of rTPA and should perform early laminectomy (in < or = 36 hours for those with complete deficit and in < or = 48 hours for those with incomplete deficit) if possible.
Assuntos
Hematoma Epidural Craniano/induzido quimicamente , Heparina/efeitos adversos , Infarto do Miocárdio/tratamento farmacológico , Ativador de Plasminogênio Tecidual/efeitos adversos , Adulto , Heparina/administração & dosagem , Humanos , Masculino , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/efeitos adversos , Doenças da Medula Espinal/induzido quimicamente , Ativador de Plasminogênio Tecidual/administração & dosagemRESUMO
A case of right branch retinal artery occlusion (BRAO) due to cholesterol-containing embolus following transfemoral cardiac catheterization is reported. It is extremely rare, however, cardiologists should be alert to any thromboembolic complications during and following cardiac catheterization and choose the suitable approach (either upper extremity or transfemoral).