A case of recurrent cerebral infarction in an adult patient with false Taussig-Bing anomaly

Autor:	Haruna Akanuma, Nozomu Matsuda, Yuya Itagaki, Kenji Yoshida, Kazuaki Kanai
Rok vydání:	2022
Předmět:	Adult Patients Infant Newborn Humans Female Cerebral Infarction Polycythemia Neurology (clinical) Middle Aged Cardiac Surgical Procedures Double Outlet Right Ventricle
Zdroj:	Rinsho Shinkeigaku. 62:940-945
ISSN:	1882-0654 0009-918X
DOI:	10.5692/clinicalneurol.cn-001795
Popis:	The case was a 53-year-old woman. At birth, she was diagnosed with a false Taussig-Bing anomaly with pulmonary artery stenosis and a single ventricle. However, no cardiac surgery was performed, and conservative treatment was continued by a cardiovascular surgeon even after adulthood. Because of secondary polycythemia and a history of multiple cerebral infarctions, she took anti-platelet drugs and anti-coagulants. However, she was admitted with the diagnosis of cerebral infarction for the fourth time. It was considered that the patient was at high risk of paradoxical cerebral embolism due to cardiac malformation with cyanotic congenital heart disease accompanied by coagulation abnormalities. Considering the pathophysiology, we decided to use aspirin in combination with warfarin.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ed5f69db1cee7635355ca155f94827a https://doi.org/10.5692/clinicalneurol.cn-001795 Zobrazit plný text záznamu