Middle Cerebral Artery Occlusion Associated With Acute Myocardial Infarction in the Perioperative Period : Case Report
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概要
- 論文の詳細を見る
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 60mmHg 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.
- 日本脳神経外科学会の論文
- 2006-02-15
著者
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HONGO Kazuhiro
Department of Neurosurgery, Shinshu University School of Medicine
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KOYAMA Jun
Department of Cardiovascular Medicine, Shinshu University Graduate School of Medicine
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Hongo Kazuhiro
Departments Of Neurosurgery Shinshu University School Of Medicine
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Hongo Kazuhiro
Department Of Mechanical Engineering School Of Systems Engineering National Defense Academy
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OKAMOTO Kazufumi
Department of Intensive Care Unit, Kumamoto University Medical School
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Iwashita Tomomi
Department of Emergency and Intensive Care Medicine, Shinshu University School of Medicine
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NAGASHIMA HISASHI
Department of Surgery, Komaki Daiichi Hospital
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Koyama Toru
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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TANAKA Yuichiro
Department of Neurosurgery, Shinshu University School of Medicine
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Koyama Jun
Department Of Cardiology Secomedic Hospital
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Koyama Jun
Departments Of Neurosurgery Shinshu University School Of Medicine
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Koyama Toru
Departments Of Neurosurgery Aizawa Hospital
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Aruga Masakazu
Department Of Cardiology Heart Center Aizawa Hospital
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Aruga Masakazu
Departments Of Cardiovascular Medicine Aizawa Hospital
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KITAZAWA Kazuo
Departments of Neurosurgery Aizawa Hospital
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Iwashita Tomomi
Departments Of Emergency And Intensive Care Medicine Shinshu University School Of Medicine
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Iwashita Tomomi
Department Of Emergency And Intensive Care Medicine Shinshu University School Of Medicine
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Okamoto Kazufumi
Department Of Emergency And Intensive Care Medicine Shinshu University School Of Medicine
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Okamoto Kazufumi
Departments Of Emergency And Intensive Care Medicine Shinshu University School Of Medicine
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Tanaka Yuichiro
Departments Of Neurosurgery Shinshu University School Of Medicine
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Tanaka Yuichiro
Department Of Neurosurgery Shinshu University School Of Medicine
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Nagashima Hisashi
Departments Of Neurosurgery Aizawa Hospital
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Nagashima Hisashi
Department Of Neurosurgery Shinshu University School Of Medicine
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Koyama Jun
Department Of Biology Faculty Of Science Shizuoka University
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Tanaka Yuichiro
Department Of Materials Technology Faculty Of Engineering Chiba University
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Iwashita Tomomi
Department Of Emergency And Critical Care Medicine Shinshu University School Of Medicine
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Okamoto Kazufumi
Department Of Emergency And Critical Care Medicine Shinshu University School Of Medicine
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KITAZAWA Kazuo
Department of Neurosurgery, Shinshu University School of Medicine
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TANAKA Yuichiro
Department of Bioresource Science, Ibaraki University
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