کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2963765 1178573 2009 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Stroke secondary to calcific bicuspid aortic valve: Case report and literature review
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Stroke secondary to calcific bicuspid aortic valve: Case report and literature review
چکیده انگلیسی

SummaryBackgroundAortic valve calcification is common in rheumatic endocarditis, elderly patients, and congenital bicuspid aortic valve. It is not a recognized risk factor for stroke. We report a case of non-calcific embolization from calcified bicuspid aortic valve.MethodsA 52-year-old male with bicuspid aortic valve presented with aphasia and right arm weakness of less than 3 h duration. CT head revealed hypodensity in the left middle cerebral artery (MCA) distribution and laboratory testing showed factor V leiden heterozygosity. The patient improved after intra-arterial tissue plasminogen activator (t-PA), but developed recurrence of right sided hemiparesis and silent myocardial infarction (MI). Cerebral angiography revealed clot in the left MCA. The patient received t-PA followed by transcatheter clot retrieval and was started on anticoagulation.ConclusionsEmbolization from calcific bicuspid aortic valves can lead to stroke and MI. Conservative management with anticoagulation for treatment of associated poststagnation thrombosis or aortic valve replacement as treatment is debatable. This patient was successfully managed with anticoagulation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiology - Volume 54, Issue 1, August 2009, Pages 158–161
نویسندگان
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