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A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction.

Authors :: Yadav V
Gajurel RM
Poudel CM
Thapa P
Sharma M
Shrestha S
Source :: Case reports in cardiology [Case Rep Cardiol] 2023 Apr 13; Vol. 2023, pp. 9986712. Date of Electronic Publication: 2023 Apr 13 (Print Publication: 2023).
Publication Year :: 2023
Abstract: 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.<br />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.<br />Competing Interests: The author(s) declare(s) that they have no conflicts of interest.<br /> (Copyright © 2023 Vijay Yadav et al.)