{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:49:45Z","timestamp":1766476185403,"version":"3.48.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":138,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine & Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Ischemic stroke requires prompt diagnosis and treatment but rarely results from acute aortic dissection. The administration of tissue\u2010type plasminogen activator (t\u2010PA) to such patients can lead to serious complications and potentially fatal outcomes. Here, we report a case in which thoracic magnetic resonance angiography (MRA) was useful for identifying cerebral infarction complicated by acute aortic dissection.<\/jats:p>\n <\/jats:sec>\n \n Case Presentation<\/jats:title>\n A 60\u2010year\u2010old man presented with a sudden onset of left\u2010sided hemiplegia, right\u2010sided hemiparesis, and dysarthria. Noncontrast CT ruled out intracranial hemorrhage; however, aortic dissection was not detected. MRI showed reduced blood flow in the right middle cerebral artery, and t\u2010PA administration was suspected to have caused ischemic stroke. However, thoracic MRA revealed dissection from the ascending aorta to the arch, which was diagnosed using contrast\u2010enhanced CT.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Thoracic MRA is useful for diagnosing acute aortic dissection in patients with a stroke.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ams2.70066","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T08:35:52Z","timestamp":1747643752000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case report: Efficacy of thoracic\n MRA<\/scp>\n for ischemic stroke due to acute aortic dissection"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7290-2664","authenticated-orcid":false,"given":"Jun","family":"Nagayama","sequence":"first","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Center Japanese Red Cross Maebashi Hospital Maebashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2732-2774","authenticated-orcid":false,"given":"Kenji","family":"Fujizuka","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Center Japanese Red Cross Maebashi Hospital Maebashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shioya","family":"Hayato","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Center Japanese Red Cross Maebashi Hospital Maebashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7407-3665","authenticated-orcid":false,"given":"Ryosuke","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Center Japanese Red Cross Maebashi Hospital Maebashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsunobu","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Center Japanese Red Cross Maebashi Hospital Maebashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/2396987321989865"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-229982"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2023-002595"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000445528"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0269-2"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000254594.33408.b1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm2401009"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0304401"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-14-0198"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.13.1350"}],"container-title":["Acute Medicine & Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.70066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:45:14Z","timestamp":1766475914000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.70066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/ams2.70066"],"URL":"https:\/\/doi.org\/10.1002\/ams2.70066","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"type":"print","value":"2052-8817"},{"type":"electronic","value":"2052-8817"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-12-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70066"}}