Stroke Recurrence in a Patient Twelve Years after Repair of a Secundum Atrial Septal Defect

Background Secundum atrial septal defect (ASD) is a common congenital heart defect in adults. Patients with ASDs at high risk of cardiovascular complications undergo either surgical repair or percutaneous device closure. Case Report We report the case of an 85-year-old male with unusual recurrent ce...

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Published inJournal of neurocritical care Vol. 11; no. 2; pp. 124 - 128
Main Authors Ok, Taedong, La, Yun Kyung, Cha, Hyun Seo, Cheon, Kyeongyeol, Choi, Bo Kyu, Yi, Gi Jong, Lee, Kyung-Yul
Format Journal Article
LanguageEnglish
Published The Korean Neurocritical Care Society 01.12.2018
대한신경집중치료학회
Subjects
Echocardiography, Transesophageal
Heart septal defects, Atrial
Stroke
신경과학
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ISSN2508-1349
2005-0348
2508-1349
DOI10.18700/jnc.180037

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Summary:Background Secundum atrial septal defect (ASD) is a common congenital heart defect in adults. Patients with ASDs at high risk of cardiovascular complications undergo either surgical repair or percutaneous device closure. Case Report We report the case of an 85-year-old male with unusual recurrent cerebral infarctions. The patient has undergone repair of secundum ASD 12 years ago. Evaluation by transesophageal echocardiography revealed a mobile mass at the patch repair site in the left atrium. The mass was surgically removed due to recurrent stroke during the anticoagulation. Conclusion This case emphasizes the importance of regular cardiac checkup and the need to consider cardioembolic source as being part of the etiology of stroke recurrence, even if the event occurs many years after intracardiac shunt closures.
Bibliography:https://www.e-jnc.org/upload/pdf/jnc-180037.pdf
ISSN:2508-1349
2005-0348
2508-1349
DOI:10.18700/jnc.180037