Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2022; 10(22): 8009-8017
Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.8009
Acute ischemic Stroke combined with Stanford type A aortic dissection: A case report and literature review
Zhi-Yang He, Lin-Peng Yao, Xiao-Ke Wang, Nai-Yun Chen, Jun-Jie Zhao, Qian Zhou, Xiao-Feng Yang
Zhi-Yang He, Xiao-Ke Wang, Nai-Yun Chen, Qian Zhou, Xiao-Feng Yang, Department of Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
Lin-Peng Yao, Jun-Jie Zhao, Department of Radiology, The First Affiliated Hospital, Zhejiang University school of Medicine, Hangzhou 310003, Zhejiang Province, China
Author contributions: He ZY and Yao LP contributed equally to this case, both wrote and revised the text; Zhou Q and Yang XF contributed equally in this case report; all were part of the clinical team that treated the patient, and all contributed to the text.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict of interests exists to any of the authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qian Zhou, MM, Attending Doctor, Department of Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 1367 Wenyi West Road, Hangzhou 310003, Zhejiang Province, China. qianzhou1994@zju.edu.cn
Received: February 14, 2022
Peer-review started: February 14, 2022
First decision: April 8, 2022
Revised: April 11, 2022
Accepted: June 26, 2022
Article in press: June 26, 2022
Published online: August 6, 2022
Core Tip

Core Tip: Acute aortic dissection (AAD) is a high mortality condition that can lead to acute ischemic stroke (AIS). A patient was treated with thrombolytic therapy in a local hospital for AIS but his symptoms did not improve and progressed to a large cerebral infarction. The patient was eventually diagnosed with AAD. This is a rare case and we should rule out AAD before thrombolysis in patients with cerebral infarction.