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A Thrombus within an Interventricular Membranous Septal Aneurysm Leading to Cerebral Infarction: A Case Report

심실간 막 중격류에 생긴 혈전으로 인한 뇌경색: 증례 보고

  • Seongken Kim (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Cardiac Imaing Center, Asan Medical Center) ;
  • Joon-Won Kang (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Cardiac Imaing Center, Asan Medical Center) ;
  • Hyun Jung Koo (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Cardiac Imaing Center, Asan Medical Center) ;
  • Dong Hyun Yang (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Cardiac Imaing Center, Asan Medical Center)
  • 김성근 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 강준원 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 구현정 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 양동현 (울산대학교 의과대학 서울아산병원 영상의학과)
  • Received : 2022.11.08
  • Accepted : 2023.06.11
  • Published : 2024.01.01

Abstract

Interventricular membranous septal aneurysms are rare. Since these aneurysms can lead to complications such as obstruction of right ventricular outflow and thromboembolism, the detection of this aneurysm has clinical significance. Herein, we report a case of an interventricular membranous septal aneurysm with an internal thrombus thought to be the cause of a cerebral infarction.

심실간 막 중격류는 드문 질환이다. 이 동맥류는 우심실 유출 폐색이나 혈전색전증과 같은 합병증을 유발할 수 있으므로 이 동맥류를 발견하는 것은 임상적으로 의의가 있다. 우리는 뇌경색의 원인으로 생각되는 심실간 막 중격류에 생긴 혈전을 보고하고자 한다.

Keywords

References

  1. Minette MS, Sahn DJ. Ventricular septal defects. Circulation 2006;114:2190-2197 https://doi.org/10.1161/CIRCULATIONAHA.106.618124
  2. Bijulal S, Sivasankaran S, Sanjay G, Tharakan J. Membranous septal aneurysm: an unusual cause for right ventricular outflow tract obstruction in a malaligned ventricular septal defect with aortomitral discontinuity (double-outlet right ventricle) associated with visceral heterotaxy. Pediatr Cardiol 2009;30:200-202 https://doi.org/10.1007/s00246-008-9299-8
  3. Carcano C, Kanne JP, Kirsch J. Interventricular membranous septal aneurysm: CT and MR manifestations. Insights Imaging 2016;7:111-117 https://doi.org/10.1007/s13244-015-0456-3
  4. Anderson RH, Webb S, Brown NA, Lamers W, Moorman A. Development of the heart: (2) Septation of the atriums and ventricles. Heart 2003;89:949-958 https://doi.org/10.1136/heart.89.8.949
  5. Choi M, Jung JI, Lee BY, Kim HR. Ventricular septal aneurysms in adults: findings of cardiac CT images and correlation with clinical features. Acta Radiol 2011;52:619-623 https://doi.org/10.1258/ar.2011.100388
  6. Tatli S, Lipton MJ. CT for intracardiac thrombi and tumors. Int J Cardiovasc Imaging 2005;21:115-131 https://doi.org/10.1007/s10554-004-5342-x
  7. Smeeton WM, Anderson KR, Ho SY, Davies MJ, Anderson RH. Conduction tissue changes associated with enlarged membranous septum--a cause of sudden death? Br Heart J 1981;46:636-642 https://doi.org/10.1136/hrt.46.6.636
  8. Salazar J, Gutierrez A, Cay E, Ballester C, Salazar JJ, Placer L. Cerebral embolism and thrombus in a membranous interventricular septal aneurysm. Ann Thorac Surg 2003;76:286-287 https://doi.org/10.1016/S0003-4975(03)00152-8
  9. Hart RG, Diener HC, Coutts SB, Easton JD, Granger CB, O'Donnell MJ, et al. Embolic strokes of undetermined source: the case for a new clinical construct. Lancet Neurol 2014;13:429-438 https://doi.org/10.1016/S1474-4422(13)70310-7
  10. Salazar Mena J. [Echocardiographic detection of thrombus in an aneurysm of the interventricular membranous septum]. Rev Esp Cardiol 2004;57:898; author reply 898. Spanish