Middle Cerebral Artery Occlusion Associated With Acute Myocardial Infarction in the Perioperative Period-Case Report-

• IWASHITA Tomomi

  Department of Emergency and Intensive Care Medicine, Shinshu University School of Medicine

• KITAZAWA Kazuo

  Department of Neurosurgery, Aizawa Hospital

• KOYAMA Jun-Ichi

  Department of Neurosurgery, Shinshu University School of Medicine

• NAGASHIMA Hisashi

  Department of Neurosurgery, Aizawa Hospital

• KOYAMA Toru

  Department of Neurosurgery, Aizawa Hospital

• ARUGA Masakazu

  Department of Cardiovascular Medicine, Aizawa Hospital

• TANAKA Yuichiro

  Department of Neurosurgery, Shinshu University School of Medicine

• HONGO Kazuhiro

  Department of Neurosurgery, Shinshu University School of Medicine

• OKAMOTO Kazufumi

  Department of Emergency and Intensive Care Medicine, Shinshu University School of Medicine

書誌事項

タイトル別名

• —Case Report—

抄録

A 68-year-old woman with no history of cardiac events suffered acute myocardial infarction after surgery for middle cerebral artery (MCA) occlusion manifesting as transient left motor weakness. Diffusion-weighted magnetic resonance imaging revealed multiple infarctions in the right cerebral hemisphere. Magnetic resonance angiography and cerebral angiography demonstrated an occlusion at the horizontal segment of the right MCA and no collateral circulation. Cerebral blood flow study 6 weeks after the initial presentation indicated decreased blood flow in the right cerebral hemisphere. Superficial temporal artery-MCA anastomosis was conducted to prevent recurrent cerebral infarction. Two hours after surgery, her systolic blood pressure fell to 60 mmHg and her consciousness worsened. Emergency coronary angiography indicated occlusion of the right coronary artery. Percutaneous coronary intervention was successfully performed and the subsequent course was uneventful. Preoperative evaluation of the coronary artery may be necessary before surgery for cerebral ischemic disease in both the intracranial and extracranial arteries.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 46 (2), 88-91, 2006

  一般社団法人 日本脳神経外科学会

キーワード

• acute myocardial infarction
• middle cerebral artery occlusion
• perioperative management

詳細情報

• CRID: 1390282680027174400
• NII論文ID: 110004078775
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.46.88
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/46/2/46_2_88/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007128819
• 本文言語コード: en
• データソース種別:
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  • Crossref
  • CiNii Articles
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