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
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
收藏
页码:214 / 217
页数:4
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