Embolic cerebral infarction and gastrointestinal hemorrhage following thrombolytic therapy for acute myocardial infarction

Echocardiography
Michael Chich-kuang ChangTien-jen Chen

Abstract

We report an unusual case of cerebral embolization that occurred after intravenous thrombolytic therapy for myocardial infarction. Direct observation by serial echocardiograms in this patient confirmed that the thrombolytic treatment induced lysis and fragmentation of thrombus, and the subsequent dislodging and embolization of preexisting cardiac thrombi, which caused the cerebral infarction. It is suggested that an echocardiogram, if instantly available, be performed before considering thrombolytic therapy whenever acute anterior wall myocardial infarction is impressed.

Citations

Oct 23, 2012·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hirokazu SadahiroMichiyasu Suzuki
Apr 4, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Manami KobayashiNobutaka Hattori

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