A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly
Autor: | M. Mazdeh, M. Khazaei |
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Jazyk: | perština |
Rok vydání: | 2014 |
Předmět: | |
Zdroj: | پزشکی بالینی ابن سینا, Vol 21, Iss 1, Pp 72-75 (2014) Scientific Journal of Hamadan University of Medical Sciences, Vol 21, Iss 1, Pp 72-75 (2014) |
ISSN: | 2588-7238 |
Popis: | Introduction: Ebstein's anomaly (EA) is a rare congenital malformation of the tricuspid valve, often associated with PFO, which is present in 80-90% of patients & predisposes to para-doxical embolization. Case Report: The case described was a 30 year old female, in the post partum phase, (ten days after normal vaginal delivery) who was presented to the emergency department with seizure & Rt sided hemiplegia & aphasia. On brain computed tomography scan there was large in-farct of Lt sided hemisphere in fronto temporopartial, and her brain MRI subsequently con-firmed the infarct. Laboratory tests including coagulation study & infectious tests were nor-mal. But electrocardiogram showed AG block grade I. Trans thoracic and Trans esophageal echocardiography revealed Ebstein's anomaly. Dynamic cardiac MRI showed severe tricus-pid regurgitation due to sown ward displacement of tricuspid valve to apical heart associated with patent foramen oral & ASD (Ejection fraction of right chamber was normal and no evi-dence of clot). Conclusion: After ruling out the other diagnoses, paradoxical emboli was considered as the cause leading to the stroke in this case. (Sci J Hamadan Univ Med Sci 2014; 21 (1):72-75) |
Databáze: | OpenAIRE |
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