Stroke Recurrence in a Patient Twelve Years after Repair of a Secundum Atrial Septal Defect
- Author:
Taedong OK
1
;
Yun Kyung LA
;
Hyun Seo CHA
;
Kyeongyeol CHEON
;
Bo Kyu CHOI
;
Gi Jong YI
;
Kyung Yul LEE
Author Information
- Publication Type:Case Report
- Keywords: Heart septal defects, Atrial; Stroke; Echocardiography, Transesophageal
- MeSH: Adult; Aged, 80 and over; Cerebral Infarction; Echocardiography, Transesophageal; Heart Atria; Heart Defects, Congenital; Heart Septal Defects, Atrial; Humans; Male; Recurrence; Stroke
- From: Journal of Neurocritical Care 2018;11(2):124-128
- CountryRepublic of Korea
- Language:English
- 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.
