INTRACRANIAL ANEURYSM IN A PATIENT WITH ACUTE MYOCARDIAL INFARCTION: A SUCCESSFUL COMBINED ENDOVASCULAR APPROACH AT THE HOSPITAL DAS CLÍNICAS DE TERESÓPOLIS

• DOI: 10.22533/at.ed.1593282318046

• Palavras-chave: Myocardial infarction; non-ST-segment elevation myocardial infarction; intracranial aneurysm; endovascular procedures.

• Keywords: Myocardial infarction; non-ST-segment elevation myocardial infarction; intracranial aneurysm; endovascular procedures.

• Abstract:

  Introduction: Cerebrovascular and cardiovascular syndromes have the highest morbidity and mortality rates worldwide. An increase in the prevalence of unruptured intracranial aneurysms has been observed as a result of the evolution of non-invasive imaging techniques, most of which are asymptomatic until the moment of rupture. Preventive treatment is indicated when the risk of bleeding outweighs the risks of treatment. Objective: To report the case of a septuagenarian patient admitted to Hospital das Clínicas Costantino Ottaviano with acute non-ST elevation myocardial infarction, who was observed concomitantly with aneurysmal dilation at the level of the middle cerebral artery branch with risk of rupture, who underwent combined endovascular approach in the hemodynamics room, which led to a favorable outcome, highlighting the challenges of the simultaneous endovascular approach. Method: A retrospective analysis of the patient's medical records was performed concomitantly with the narrative review with an active search in the PubMed database. Conclusion: Although the diagnosis of intracranial aneurysm associated with coronary syndrome requiring anticoagulation is a challenge for the clinician, the combined endovascular approach offers the possibility of a successful and minimally invasive treatment for a potentially catastrophic condition. Currently, HCTCO provides high-performance intensive and cardio-intensive medicine services, in addition to the new hemodynamics laboratory, where the endovascular approach was successfully performed, providing a lower risk of complications, greater survival and improvement in the patient's quality of life.