Neurovascular rescue for embolic stroke following atrial septal defect closure.

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2002-05-10
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Strokes following cardiac surgery occur in about 5% of patients. Intra-arterial thrombolysis is a good option in such a setting where intravenous thrombolysis is contraindicated, and when in-hospital strokes are detected well within the window for treatment and the chances of complete reperfusion are maximum. On postoperative day 4 after atrial septal defect correction, a 34-year-old woman with paroxysmal atrial fibrillation developed left middle cerebral artery stroke causing severe neurological deficits. Intra-arterial thrombolysis with urokinase led to remarkable recovery.
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Joy MA, Kumar A, Hariprasad KV, Kamath P, Haridas KK. Neurovascular rescue for embolic stroke following atrial septal defect closure. Indian Heart Journal. 2002 May-Jun; 54(3): 309-11