A CASE REPORT OF STROKE IN A WOMAN WITH PARADOXICAL EMBOLISM ASSOCIATED WITH EBSTEIN'S ANOMALY

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MAZDEH M.; KHAZAEI M.

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Journal: Avicenna Journal of Clinical Medicine Year:2014 | Volume:21 | Issue:1 (SN 71) Page(s): 72-75

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Title

A CASE REPORT OF STROKE IN A WOMAN WITH PARADOXICAL EMBOLISM ASSOCIATED WITH EBSTEIN'S ANOMALY

Author(s)

MAZDEH M. | KHAZAEI M. | Issue Writer Certificate

Keywords

EBSTEIN'S ANOMALYQ2

CEREBROVASCULAR DISORDERSQ3

PARADOXICAL EMBOLISMQ2

Abstract

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 paradoxical 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 infarct of Lt sided hemisphere in fronto temporopartial, and her brain MRI subsequently confirmed the infarct. Laboratory tests including coagulation study & infectious tests were normal.But electrocardiogram showed AG block grade I. Trans thoracic and Trans esophageal echocardiography revealed EBSTEIN'S ANOMALY. Dynamic cardiac MRI showed severe tricuspid 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 evidence of clot).Conclusion: After ruling out the other diagnoses, paradoxical emboli was considered as the cause leading to the stroke in this case.

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APA: Copy

MAZDEH, M., & KHAZAEI, M.. (2014). A CASE REPORT OF STROKE IN A WOMAN WITH PARADOXICAL EMBOLISM ASSOCIATED WITH EBSTEIN'S ANOMALY. AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES), 21(1 (SN 71)), 72-75. SID. https://sid.ir/paper/17477/en

Vancouver: Copy

MAZDEH M., KHAZAEI M.. A CASE REPORT OF STROKE IN A WOMAN WITH PARADOXICAL EMBOLISM ASSOCIATED WITH EBSTEIN'S ANOMALY. AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES)[Internet]. 2014;21(1 (SN 71)):72-75. Available from: https://sid.ir/paper/17477/en

IEEE: Copy

M. MAZDEH, and M. KHAZAEI, “A CASE REPORT OF STROKE IN A WOMAN WITH PARADOXICAL EMBOLISM ASSOCIATED WITH EBSTEIN'S ANOMALY,” AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES), vol. 21, no. 1 (SN 71), pp. 72–75, 2014, [Online]. Available: https://sid.ir/paper/17477/en

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