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  • Title: Neurovascular rescue for embolic stroke following atrial septal defect closure.
    Author: Joy MA, Kumar A, Hariprasad KV, Kamath P, Haridas KK.
    Journal: Indian Heart J; 2002; 54(3):309-11. PubMed ID: 12216933.
    Abstract:
    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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