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A Case of Successful Transcatheter Device Closure of Small Atrial Septal Defect in a Patient with Cerebral Infarction Presumably Caused by Paradoxical Emboli

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초록

Precutaneous transcatheter device closure of interatrial communications is used as an alternative to surgery or long-term anticoagulation for the treatment of patients with paradoxical cerebral embolism. We report a case of successful percutaneous transcatheter closure of small atrial septal defect in a 34 year old female patient with acute cerebral infarction presumably caused by paradoxical embolism through the defect.

Abstract

Precutaneous transcatheter device closure of interatrial communications is used as an alternative to surgery or long-term anticoagulation for the treatment of patients with paradoxical cerebral embolism. We report a case of successful percutaneous transcatheter closure of small atrial septal defect in a 34 year old female patient with acute cerebral infarction presumably caused by paradoxical embolism through the defect.

참고문헌 (12)

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  7. Hung J, "Closure of patent foramen ovale for paradoxical emboli: Intermediateterm risk of recurrent neurological events following transcatheter device placement", J Am Coll Cardiol, 35, pp.1311~1316 (2000)
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  9. Khairy P, "Transcatheter closure versus medical therapy of patent foramen ovale and presumed paradoxical thromemboli: A systematic review", Ann Intern Med, 139, pp.753~760 (2003)
  10. Harms V, "Outcomes after transcatheter closure of patent foramen ovale in patients with paradoxical embolism", Am J Cardiol, 99, pp.1312~1315 (2007)
  11. Homma S, "Surgical closure of patent foramen ovale in cryptogenic stroke patients", Stroke, 28, pp.2376~2381 (1997)
  12. Nandaz M, "How to prevent stroke recurrence in patients with patent foramen ovale: anticoagulants, antiaggregants, foramen closure, or nothing?", Eur J Neurol, 37, pp.199~204 (1997)

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