Geva T, Frand M, Benjamin P, Hegesh J
Department of Pediatrics, Tel-Hashomer and Sackler School of Medicine, Tel-Aviv University, Israel.
Pediatr Cardiol. 1990 Jan;11(1):44-6. doi: 10.1007/BF02239547.
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.
脑血管意外（CVA）并发青紫型先天性心脏病（CCHD）最常见的原因是脑静脉血栓形成，而原位脑动脉血栓形成则很少见。本文描述了一名法洛四联症（TF）患者因下腔静脉（IVC）血栓导致反常栓塞而引发的脑血管意外。该病例是首例生前记录的CCHD患者因静脉栓子来源导致脑部反常栓塞的病例，说明了对这些患者进行无创性静脉栓子来源筛查的重要性。
