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

Authors
 Taedong Ok  ;  Yun Kyung La  ;  Hyun Seo Cha  ;  Kyeongyeol Cheon  ;  Bo Kyu Choi  ;  Gi Jong Yi  ;  Kyung-Yul Lee 
Citation
 Journal of Neurocritical Care, Vol.11(2) : 124-128, 2018 
Journal Title
 Journal of Neurocritical Care 
ISSN
 2005-0348 
Issue Date
2018
Keywords
Heart septal defects, Atrial ; Stroke ; Echocardiography, Transesophageal
Abstract
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.
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T201805125.pdf Download
DOI
10.18700/jnc.180037
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
옥태동(Ok, Taedong)
이경열(Lee, Kyung Yul) ORCID logo https://orcid.org/0000-0001-5585-7739
이기종(Yi, Gi Jong)
차현서(Cha, Hyunseo)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167095
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