Cardiovascular Intervention and Therapeutics

, Volume 27, Issue 3, pp 214–217

Transcatheter atrial septal defect closure in a patient with paradoxical brain emboli: who should treat it and who should be treated?

  • Hidehiko Hara
  • Tomotaka Nakayama
  • Hiroyuki Matsuura
  • Kaori Sato
  • Go Hashimoto
  • Hisao Yoshikawa
  • Makoto Suzuki
  • Fumihiko Hara
  • Masahiko Harada
  • Kenji Wagatsuma
  • Kaoru Sugi
  • Tsutomu Saji
  • Masato Nakamura
Case Report

Abstract

This report presents the case of a 51-year-old female who was admitted to a local hospital because of a persistent headache. A diagnosis of multiple cerebral infarctions was thereafter made, but there was no evidence of either atherosclerosis or atrial fibrillation. The case was thought to be a cryptogenic stroke, however, Doppler ultrasonography of the lower extremities showed venous insufficiency. Transesophageal echocardiography revealed a secundum atrial septal defect (ASD) with a left to right shunt. Therefore, the final diagnosis was paradoxical brain emboli, and transcatheter ASD closure was successfully performed by cardiologists without any sequelae.

Keywords

Atrial septal defect Paradoxical emboli Transcatheter closure 

Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2012

Authors and Affiliations

  • Hidehiko Hara
    • 1
  • Tomotaka Nakayama
    • 2
  • Hiroyuki Matsuura
    • 2
  • Kaori Sato
    • 4
  • Go Hashimoto
    • 4
  • Hisao Yoshikawa
    • 1
  • Makoto Suzuki
    • 1
  • Fumihiko Hara
    • 3
  • Masahiko Harada
    • 3
  • Kenji Wagatsuma
    • 3
  • Kaoru Sugi
    • 1
  • Tsutomu Saji
    • 2
  • Masato Nakamura
    • 1
  1. 1.Division of Cardiovascular MedicineToho University Ohashi Medical CenterTokyoJapan
  2. 2.Division of Pediatric CardiologyToho University Omori Medical CenterTokyoJapan
  3. 3.Division of Cardiovascular MedicineToho University Omori Medical CenterTokyoJapan
  4. 4.Department of CardiologyTokyo Rosai HospitalTokyoJapan

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