Cardio-cerebral infarction with splenic infarction

NISHIMURA Tomoya, KOBASHI Daisuke, NAKAMURA Mitsunobu, TAKAHASHI Yoshihiko, MARUYAMA Jun, SASAKI Takashi

doi:10.11240/jsem.25.84

<p>Cardio-cerebral infarction (CCI) is defined as the simultaneous incidence of acute cerebral infarction and acute myocardial infarction. We present a case of a female patient in her early 50s presented with splenic infarction accompanied by CCI that was affected by thrombus embolization. An acute cerebral infarction was discovered via magnetic resonance imaging (MRI). However, bradycardia developed after MRI and electrocardiogram revealed elevated ST segments in leads II, III, and aVF. Coronary angiography was performed, and revealed a proximal right coronary artery constriction with a thrombus. But ventricular fibrillation occurred during angiography, and the heartbeat resumed after defibrillation. Immediately after that, angiography was performed again, but there was no evidence of a constriction of the proximal right coronary artery. A splenic infarction was discovered using contrast computed tomography (CT). Blood clots scattered across the body are thought to be the source of these embolism. If an acute cerebral infarction and an acute myocardial infarction arise simultaneously, a CCI should be considered as differential diagnosis, and a contrast CT must be performed to rule out aortic dissection and multi-organ embolism. </p>

Cardio-cerebral infarction with splenic infarction

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