The coexistence of acute ischemic stroke and acute myocardial infarction is rare.The reperfusion therapy used in the therapeutic window is the golden standard in the treatment of both diseases.We present a case of successful aspiration thrombectomy circumflex anterior artery and effective mechanical thrombectomy of the right internal carotid artery in a 49 - year-old female patient with myocardial infarction and ischemic stroke.When admitted in Sparkle Dust a neurological examination she received 16 points.
on the NIHSS scale.The patient was discharged from the clinic as an independent, with slight hemiparesis (NIHSS 4 points).The result of recanalization was 3 points in the TICI scale.After intravascular treatment, the patient was advised to use anticoagulant therapy due to arterial thrombosis in two vascular areas and a high probability of thrombophilia until complete diagnostics.
During the hospitalization, cardiovascular diseases were diagnosed.Transesophageal echocardiography showed BCAA FX3 a left-right flow through Botallio foramen width of 3 mm, with no visible reversal of leakage after contrast administration.After 3 months, tests were performed that did not confirm thrombophilia.The question of closing the surviving Botallio foramen, re-performing Holter and further genetic testing remains to be considered.