대한신경집중치료학회지 (Journal of Neurocritical Care)

  • 제11권2호
  • /
  • Pages.124-128
  • /
  • 2018
  • /
  • 2005-0348(pISSN)
  • /
  • 2508-1349(eISSN)
대한신경집중치료학회 (The Korean Neurocritical Care Society)
권호 표지
DOI QR코드

DOI QR Code

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

  • Ok, Taedong (Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • La, Yun Kyung (Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cha, Hyun Seo (Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cheon, Kyeongyeol (Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Choi, Bo Kyu (Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yi, Gi Jong (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Kyung-Yul (Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2018.02.10
  • 심사 : 2018.06.29
  • 발행 : 2018.12.30
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Murphy JG, Gersh BJ, McGoon MD, Mair DD, Porter CJ, Ilstrup DM, et al. Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years. N Engl J Med 1990;323:1645-50. https://doi.org/10.1056/NEJM199012133232401
  2. Baumgartner H, Bonhoefter P, De Groot NM, de Haan F, Deanfield JE, Galie N, et al. ESC guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 2010;31:2915-57. https://doi.org/10.1093/eurheartj/ehq249
  3. Butera G, Carminati M, Chessa M, Youssef R, Drago M, Giamberti A, et al. Percutaneous versus surgical closure of secundum atrial septal defect: comparison of early results and complications. Am Heart J 2006;151:228-34. https://doi.org/10.1016/j.ahj.2005.02.051
  4. Kotowycz MA, Therrien J, Ionescu-Ittu R, Owens CG, Pilote L, Martucci G, et al. Long-term outcomes after surgical versus transcather closure of atrial septal defects in adults. JACC Cardiovasc Interv 2013;6:497-503. https://doi.org/10.1016/j.jcin.2012.12.126
  5. Chen TH, Hsiao YC, Cheng CC, Mao CT, Chen DY, Tsai ML, et al. In-hospital and 4-year clinical outcomes following transcatheter versus surgical closure for secundum atrial septal defect in adults: a national cohort propensity score analysis. Medicine (Baltimore) 2015;94:e1524. https://doi.org/10.1097/MD.0000000000001524
  6. Kim HR, Jung SH, Park JJ, Yun TJ, Choo SJ, Chung CH, et al. Risk analysis of the long-term outcomes of the surgical closure of secundum atrial septal defects. Korean J Thorac Cardiovasc Surg 2017;50:78-85. https://doi.org/10.5090/kjtcs.2017.50.2.78
  7. Homma S, Di Tullio MR, Sacco RL, Sciacca RR, Smith C, Mohr JP. Surgical closure of patent foramen ovale in cryptogenic stroke patients. Stroke 1997;28:2376-81. https://doi.org/10.1161/01.STR.28.12.2376
  8. Chessa M, Carminati M, Butera G, Bini RM, Drago M, Rosti L, et al. Early and late complications associated with transcatheter closure of secundum atrial septal defects. J Am Coll Cardiol 2002;39:1061-5. https://doi.org/10.1016/S0735-1097(02)01711-4
  9. Krumsdorf U, Ostermayer S, Billinger K, Trepels T, Zadan E, Horvath K, et al. Incidence and clinical course of thrombus formation on atrial septal defect and patent foramen ovale closure devices in 1,000 consecutive patients. J Am Coll Cardiol 2004;43:302-9. https://doi.org/10.1016/j.jacc.2003.10.030
  10. Stollberger C, Finsterer J, Krexner E, Schneider B. Stroke and peripheral embolism from an Amplatzer septal occluder 5 years after implantation. J Neurol 2008;255:1270-1. https://doi.org/10.1007/s00415-008-0873-z
  11. Kodankandath TV, Mishra S, Libman RB, Wright P. Recurrent stroke due to patent foramen ovale closure device thrombus eight years after implantation. J Stroke Cerebrovasc Dis 2016;25:e161-2. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.06.037

피인용 문헌

  1. Mechanophysiologically active patch for closure of atrial septal defect vol.13, pp.12, 2018, https://doi.org/10.1136/bcr-2020-237785