Thrombolytic therapy and acute aortic dissection

D Mertens; M C Herregods; F van de Werf

Thrombolytic therapy and acute aortic dissection

Acta Cardiol. 1992;47(5):501-5.

Authors

D Mertens¹, M C Herregods, F van de Werf

Affiliation

¹ Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium.

PMID: 1441858

Abstract

Thrombolytic (tissue plasminogen activator) and antithrombotic treatment (heparin and aspirin) were given to a 47-year-old man with an acute type II aortic dissection presenting as an acute anterior myocardial infarction. During treatment he developed cardiac tamponade and an ischaemic stroke. Transoesophageal echocardiography (but not computed tomographies of the chest) revealed the correct diagnosis. After surgical repair (Bentall procedure) there was a complete recovery.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm, Thoracic / complications*
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Dissection / complications*
Aortic Dissection / diagnostic imaging
Cardiac Tamponade / chemically induced
Cardiac Tamponade / diagnostic imaging
Diagnosis, Differential
Echocardiography
Humans
Male
Middle Aged
Myocardial Infarction / diagnostic imaging
Myocardial Infarction / drug therapy
Thrombolytic Therapy*
Tissue Plasminogen Activator / administration & dosage
Tissue Plasminogen Activator / adverse effects*

Substances

Tissue Plasminogen Activator