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Atrial septal defects: the role in the development of cerebral circulation disorders caused by paradoxical embolism

https://doi.org/10.14412/2074-2711-2021-6-142-146

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Abstract

 The article presents a case report of a patient with cardioembolic ischemic stroke (IS), which was the first clinical manifestation of  congenital atrial septal defect (ASD), asymptomatic until adulthood.  The issues of anatomical classification, restructuring of  intracardiac hemodynamics depending on the size and localization  of ASD, its role in the development of IS are discussed. The  diagnostic algorithm in patients with IS caused by paradoxical  embolism is described, the current possibilities of ASD treatment  and prevention of related disorders of cerebral circulation are  discussed. 

About the Authors

A. V. Belopasova
Research Center of Neurology
Russian Federation

 80, Volokolamskoe Shosse, Moscow 125367, Russia 



L. A. Dobrinina
Research Center of Neurology
Russian Federation

 80, Volokolamskoe Shosse, Moscow 125367, Russia 



A. O. Chechetkin
Research Center of Neurology
Russian Federation

 80, Volokolamskoe Shosse, Moscow 125367, Russia 



A. R. Karshieva
Research Center of Neurology
Russian Federation

 80, Volokolamskoe Shosse, Moscow 125367, Russia 



L. Yu. Ananieva
Research Center of Neurology
Russian Federation

 80, Volokolamskoe Shosse, Moscow 125367, Russia 



D. S. Pushkina
Research Center of Neurology
Russian Federation

 80, Volokolamskoe Shosse, Moscow 125367, Russia 



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Review

For citations:


Belopasova A.V., Dobrinina L.A., Chechetkin A.O., Karshieva A.R., Ananieva L.Yu., Pushkina D.S. Atrial septal defects: the role in the development of cerebral circulation disorders caused by paradoxical embolism. Neurology, Neuropsychiatry, Psychosomatics. 2021;13(6):142-146. (In Russ.) https://doi.org/10.14412/2074-2711-2021-6-142-146

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