Acute pontine infarction after percutaneous coronary intervention: a very rare but devastating complication

F Arslan, J Mair, W-M Franz, M Otten, L van Lelyveld

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A 64-year-old man suffering from an acute posterior wall myocardial infarction underwent primary percutaneous coronary intervention. After several aspiration attempts, tirofiban infusion and pre- and post-dilatation, a bare-metal stent was successfully implanted in the culprit right coronary artery. While the patient did not show any neurological symptoms before or during the procedure, he exhibited hemiplegia and loss of spontaneous speech. Additional magnetic resonance imaging showed an extensive brain stem infarction. This is the first report of a brain stem infarction as a complication of percutaneous coronary intervention.

Original languageEnglish
Pages (from-to)366-367
Number of pages2
JournalNetherlands Heart Journal
Volume23
Issue number7-8
DOIs
Publication statusPublished - Jul 2015

Keywords

  • Embolic stroke
  • Percutaneous coronary intervention
  • Acute myocardial infarction

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