A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly
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, (t...
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| Format: | Article |
| Language: | fas |
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Hamadan University of Medical Sciences
2014-06-01
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| Series: | پزشکی بالینی ابن سینا |
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| Online Access: | http://sjh.umsha.ac.ir/article-1-107-en.html |
| _version_ | 1819023818054696960 |
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| author | Mehrdokht Mazdeh Mojtaba Khazaei |
| author_facet | Mehrdokht Mazdeh Mojtaba Khazaei |
| author_sort | Mehrdokht Mazdeh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T04:44:56Z |
| format | Article |
| id | doaj.art-ba813cd0a8704edfbec7b5a57e142a58 |
| institution | Directory Open Access Journal |
| issn | 2588-722X 2588-7238 |
| language | fas |
| last_indexed | 2024-12-21T04:44:56Z |
| publishDate | 2014-06-01 |
| publisher | Hamadan University of Medical Sciences |
| record_format | Article |
| series | پزشکی بالینی ابن سینا |
| spelling | doaj.art-ba813cd0a8704edfbec7b5a57e142a582022-12-21T19:15:37ZfasHamadan University of Medical Sciencesپزشکی بالینی ابن سینا2588-722X2588-72382014-06-012117275A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s AnomalyMehrdokht Mazdeh0Mojtaba Khazaei1 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.http://sjh.umsha.ac.ir/article-1-107-en.htmlebstein\'s anomalycerebrovascular disordersparadoxical embolism |
| spellingShingle | Mehrdokht Mazdeh Mojtaba Khazaei A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly پزشکی بالینی ابن سینا ebstein\'s anomaly cerebrovascular disorders paradoxical embolism |
| title | A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly |
| title_full | A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly |
| title_fullStr | A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly |
| title_full_unstemmed | A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly |
| title_short | A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein\'s Anomaly |
| title_sort | case report of stroke in a woman with paradoxical embolism associated with ebstein s anomaly |
| topic | ebstein\'s anomaly cerebrovascular disorders paradoxical embolism |
| url | http://sjh.umsha.ac.ir/article-1-107-en.html |
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