Pediatric Cardiology

, Volume 11, Issue 1, pp 44–46 | Cite as

Cerebral embolization from an inferior vena cava thrombus in tetralogy of Fallot

  • Tal Geva
  • Mira Frand
  • Patricia Benjamin
  • Julius Hegesh
Case Reports

Summary

Cerebrovascular accident (CVA) complicating cyanotic congenital heart disease (CCHD) is most frequently attributed to cerebral venous thrombosis, only rarely to in situ cerebral arterial thrombosis. Cerebrovascular accident due to paradoxical embolization from an inferior vena cava (IVC) thrombus in a patient with tetralogy of Fallot (TF) is described. This case is the first antemortem documentation of a venous embolic source that caused paradoxical embolization to the brain in a patient with CCHD, and illustrates the importance of noninvasive screening for a venous source of emboli in these patients.

Key Words

Cerebrovascular accident Paradoxical embolus Tetralogy of Fallot Inferior vena cava thrombus 

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References

  1. 1.
    Amitai Y, Blieden L, Shemtov A, Neufeld HN (1984) Cerebrovascular accidents in infants and children with congenital cyanotic heart disease.Ir J Med Sci 20:1143–1145Google Scholar
  2. 2.
    Cerebral Embolism Task Force (1986) Cardiogenic brain embolism.Arch Neurol 43:71–84Google Scholar
  3. 3.
    Cottrill CM, Kaplan S (1973) Cerebral vascular accidents in cyanotic congential heart disease.Am J Dis Child 125:484–487PubMedGoogle Scholar
  4. 4.
    Kilgo GR, McGhee TB, Toole JF (1986) Cerebrovascular disease and neurological manifestations of heart disease. In: Hurst WJ, (ed)The heart arteries and veins. McGraw-Hill, New York, p 1362Google Scholar
  5. 5.
    Phornphutkul C, Rosenthal A, Nadas AS, Berenberg W (1973) Cerebrovascular accidents in infants and children with cyanotic congenital heart disease.Am J Cardiol 32:329–334PubMedGoogle Scholar
  6. 6.
    Rashkind WJ (1971) Transposition of the great arteries.Pediatr Clin North Am 18:1075–1090PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc 1990

Authors and Affiliations

  • Tal Geva
    • 1
  • Mira Frand
    • 1
  • Patricia Benjamin
    • 2
  • Julius Hegesh
    • 2
  1. 1.Department of Pediatrics, Chaim Sheba Medical Center, Tel-Hashomer and Sackler School of MedicineTel-Aviv UniversityTel-AvivIsrael
  2. 2.Heart Institute, Chaim Sheba Medical Center, Tel-Hashomer and Sackler School of MedicineTel-Aviv UniversityTel-AvivIsrael

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