PMC6742686_01
Multiple metastasis. Although the ovary carcinoma was resected, liver, and bone metastasis (arrow) was detected. Multiple lymph nodes are swelling (arrowhead), indicating metastasis.
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F1
A 55-year-old woman with a history of ovarian carcinoma and multiple metastasis to lymph node, liver, and bone (Figure 1) was admitted to our hospital with consciousness disturbance.
(A) Magnetic resonance imaging on admission day. Diffusion-weighted image showed acute infarction limited to the left basal ganglia (arrow). (B) Magnetic resonance angiography. The left middle cerebral artery (MCA) was occluded in the proximal portion (arrow). (C) Coronary angiography on admission day. The distal portion of the right coronary artery was completely occluded (arrow). (D) Thrombectomy for cerebral artery occlusion (arrow), whereby complete recanalization was achieved (arrowhead). (E) Brain MRA on the second hospital day. The left MCA was recanalized successfully. (F) Coronary angiography post-intervention. Although the stenosis remained (arrow), recanalization was achieved.
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F2
Acute cerebral infarction was detected in the left basal ganglia, and the left middle cerebral artery (MCA) was occluded (Figures 2A,B). A cerebral angiogram showed distal MCA occlusion (Figure 2D, arrow), and the thrombus was successfully retrieved with a stent retriever (Figure 2D, arrowhead). A coronary angiogram showed complete occlusion of the distal right coronary artery at the atrioventricular branch (Figure 2C), and after plain old balloon angioplasty the occluded artery was recanalized (Figure 2F). Brain MRA on the second hospital day showed a recanalized left MCA (Figure 2E).