Nontraumatic subdural hematoma following triple antithrombotic therapy plus heparin after PTCA and coronary stent implantation

A 80-year-old man was admitted with unstable angina. Percutaneous transluminal angioplasty and stent implantation was performed into the LAD. The following day the patient continued to suffer from recurrent cardiac ischemia and transluminal stent placement into the dominant right coronary artery was performed. On day 1 after stent placement the patient developed left sided hemiparesis and decreased conciousness. A brain CT scan (Figure) revealed large right sided subdural hematoma with blood extending into the interhemisheric space. The patient received triple antithrombotic therapy with aspirin 100mg per day, C…