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Paradoxial embolism as a cause of ischemic stroke in patient with sinus venosus atrial septal defect

https://doi.org/10.14412/2074-2711-2021-5-123-129

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Abstract

We present a case report of a middle-aged patient with a rare sinus venosus atrial septal defect (ASD) and ischemic stroke that developed due to paradoxical embolism. Occlusion of the anterior cerebral artery led to a stroke with cognitive impairment, acalculia, and apraxia. Diagnostic ultrasound features of this anomaly in suspected cases are discussed. In the presented case, verification of the stroke cause became possible due to the contrast-enhanced computed tomography of the heart. ASD detection made it possible to refer the patient to the surgical treatment necessary to prevent both recurrent cerebral accidents and the progression of pulmonary hypertension, and the prevention of the development of right ventricular heart failure.

About the Authors

A. A. Kulesh
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation

Aleksey Aleksandrovich Kulesh

26, Petropavlovskaya St., Perm 614990



S. A. Mekhryakov
City Clinical Hospital Four
Russian Federation

2, KIM St., Perm 614107



L. I. Syromyatnikova
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia; City Clinical Hospital Four
Russian Federation

26, Petropavlovskaya St., Perm 614990
2, KIM St., Perm 614107



N. H. Gorst
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation

26, Petropavlovskaya St., Perm 614990



S. O. Drobakha
City Clinical Hospital Four
Russian Federation

2, KIM St., Perm 614107



E. V. Nikolaeva
Pyatigorsk City Clinical Hospital №2
Russian Federation

6, Admiralskogo St., Pyatigorsk 357538



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For citation:


Kulesh A.A., Mekhryakov S.A., Syromyatnikova L.I., Gorst N.H., Drobakha S.O., Nikolaeva E.V. Paradoxial embolism as a cause of ischemic stroke in patient with sinus venosus atrial septal defect. Neurology, Neuropsychiatry, Psychosomatics. 2021;13(5):123-129. https://doi.org/10.14412/2074-2711-2021-5-123-129

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)