Intravenous fibrinolysis with alteplase in a young patient with acute ischemic stroke associated with coarctation of the aorta. Clinical case report

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Javier Aquiles Hidalgo Acosta
Gloria Lizeth Aldean Aguirre
Héctor David Chávez Flores
Kevin Ignacio López Cruz
Verónica Gisella Sotomayor Lucas
Mónica Patricia Erazo Morcu
Javier Oseas Jimenez Carrera
Anneli Arevalo Guerrero
María Alexandra Ñauñay Otáñez

Abstract

Regarding coarctation of the aorta, it is a rare congenital disease, in which a systemic arteriopathy occurs, caused by narrowing of the vessel, generating obstruction to the aortic flow, , this malformation, is very little related to acute ischemic stroke in young people, therefore, the objective is to present the case of a 26-year-old male patient with a clinical picture compatible with ischemic stroke secondary to coarctation of the aorta in the evaluation with thorax angiography and echocardiogram, enters window period ( 4.5 hours) and pharmacologic thrombolysis is performed with accelerated regimen with alteplase. It reviews bibliography of current scientific articles, studies , meta analysis and guides of the New York Heart Association and the American Stroke Association , articles mostly from 2020 onwards, obtained from internationally recognised databases such as PUBMED, JAMA, ELSEVIER, in a total of 21 articles in English and Spanish, concluding that, the coexistence of acute ischemic stroke associated with coarctation of the aorta is a rare occurrence in the young population and that it can be treated initially with intravenous infusion of alteplase as a thrombolysis method and that there are other therapeutic alternatives for correction of aortic coarctation

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How to Cite
Hidalgo Acosta, J. A., Aldean Aguirre, G. L., Chávez Flores, H. D., López Cruz, K. I., Sotomayor Lucas, V. G., Erazo Morcu, M. P., … Ñauñay Otáñez, M. A. (2022). Intravenous fibrinolysis with alteplase in a young patient with acute ischemic stroke associated with coarctation of the aorta. Clinical case report. Mediciencias UTA, 6(3), 110–118. https://doi.org/10.31243/mdc.uta.v6i3.1696.2022
Section
Clinical case presentation article

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