Adult cyanotic congenital heart disease: an unusual cause of stroke

作者:Bacaksiz Ahmet*; Sonmez Osman; Akif Mehmet; Kayrak Mehmet
来源:Journal of Pakistan Medical Association, 2013, 63(7): 907-909.

摘要

A 33-year-old male patient with uncorrected tetralogy of Fallot was hospitalised for multiple peripheral arterial emboli. Bilateral above-knee amputation had been done after unsuccessful femoral embolectomy. A large thrombus was detected in the apical portion of the left ventricle which was the source of the embolus. The patient complained of mild frontal headache and progressive right-sided weakness shortly after an echocardiographic examination. A computed tomography (CT) scan revealed a left middle cerebral artery territory infarct. Patients with grown-up cyanotic congenital heart disease are at increased risk of thromboembolic cerebrovascular events. This report highlights the necessity for physicians to be alert for uncommon causes of acute stroke.

  • 出版日期2013-7