Hara Hidehiko, Nakayama Tomotaka, Matsuura Hiroyuki, Sato Kaori, Hashimoto Go, Yoshikawa Hisao, Suzuki Makoto, Hara Fumihiko, Harada Masahiko, Wagatsuma Kenji, Sugi Kaoru, Saji Tsutomu, Nakamura Masato
Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan.
Cardiovasc Interv Ther. 2012 Sep;27(3):214-7. doi: 10.1007/s12928-012-0111-6. Epub 2012 Jul 10.
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.
