Concomitant Myocardial Infarction and Stroke Managed With a Unique Approach: A Case Report and Review of Literature

A 71-year-old gentleman presented with concomitant acute myocardial-cerebral infarction (AMCI). The patient was treated with a novel endovascular approach of simultaneous intracoronary (IC) and cerebral intra-arterial (IA) thrombolysis. The concomitant occurrence of acute myocardial infarction (AMI) and acute ischemic stroke (AIS) is a rare and challenging clinical scenario with a lack of established definitions and treatment guidelines. The preferred treatment approach of combined mechanical thrombectomy (MT) and percutaneous coronary intervention (PCI) is not widely available, hence necessitating the need to explore further practical and feasible treatment options.