Document Detail

Massive pulmonary thromboembolism after intravenous stroke thrombolysis.
MedLine Citation:
PMID:  22605816     Owner:  NLM     Status:  MEDLINE    
The authors present a 76-year-old female with high blood pressure and hypercholesterolaemia as cerebrovascular risk factors, who received intravenous thrombolysis for an ischaemic stroke with a progressive neurological improvement. She was asymptomatic at 48 h and she was transferred to the neurology department where antithrombotic treatment was initiated. She began to sit the following day when she suffered a massive pulmonary embolism (PE). Cardiological study showed patent foramen oval persistence and the presence of an atrial septa aneurysm, and paroxysmal atrial fibrillation. The delay of the onset of the antithrombotic treatment could have been determinant for the massive PE. Thromboembolic complications may be seen after intravenous thrombolysis for ischaemic stroke. An accurate treatment is needed in order to avoid potentially threatening complications such as massive PE.
Montserrat G Delgado; Gerard Mauri; Juan Vega
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-03-27
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-18     Completed Date:  2013-02-12     Revised Date:  2014-03-28    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Aspirin / administration & dosage,  adverse effects
Heparin, Low-Molecular-Weight / administration & dosage,  adverse effects
Infusions, Intravenous
Pulmonary Embolism / chemically induced*,  diagnosis*
Stroke / complications*,  drug therapy*
Thrombolytic Therapy / adverse effects*
Tomography, X-Ray Computed
Reg. No./Substance:
0/Heparin, Low-Molecular-Weight; R16CO5Y76E/Aspirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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