Transcatheter atrial septal defect closure in a patient with paradoxical brain emboli: who should treat it and who should be treated?

被引：0

作者：

Hara, Hidehiko ^{[1
]}

Nakayama, Tomotaka ^{[2
]}

Matsuura, Hiroyuki ^{[2
]}

Sato, Kaori ^{[3
]}

Hashimoto, Go ^{[3
]}

Yoshikawa, Hisao ^{[1
]}

Suzuki, Makoto ^{[1
]}

Hara, Fumihiko ^{[4
]}

Harada, Masahiko ^{[4
]}

Wagatsuma, Kenji ^{[4
]}

Sugi, Kaoru ^{[1
]}

Saji, Tsutomu ^{[2
]}

Nakamura, Masato ^{[1
]}

机构：

[1] Toho Univ, Ohashi Med Ctr, Div Cardiovasc Med, Meguro Ku, 2-17-6 Ohashi, Tokyo 1538515, Japan

[2] Toho Univ, Ohashi Med Ctr, Div Pediat Cardiol, Tokyo, Japan

[3] Tokyo Rosai Occupat Dis & Injuries Hosp, Dept Cardiol, Tokyo, Japan

[4] Toho Univ, Omori Med Ctr, Div Cardiovasc Med, Tokyo, Japan

来源：

CARDIOVASCULAR INTERVENTION AND THERAPEUTICS | 2012年 / 27卷 / 03期

关键词：

Atrial septal defect; Paradoxical emboli; Transcatheter closure;

D O I：

10.1007/s12928-012-0111-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report presents the case of a 51-year-old female who was admitted to a local hospital because of a persistent headache. A diagnosis of multiple cerebral infarctions was thereafter made, but there was no evidence of either atherosclerosis or atrial fibrillation. The case was thought to be a cryptogenic stroke, however, Doppler ultrasonography of the lower extremities showed venous insufficiency. Transesophageal echocardiography revealed a secundum atrial septal defect (ASD) with a left to right shunt. Therefore, the final diagnosis was paradoxical brain emboli, and transcatheter ASD closure was successfully performed by cardiologists without any sequelae.

引用

页码：214 / 217

页数：4

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