Cerebrovascular Diseases Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Cardiol Young. 2020 May;30(5):734-736. doi: 10.1017/S1047951120000669. Epub 2020 Apr 6.
A 24-year-old female patient diagnosed with cyanotic CHD had undergone a correction procedure at the age of eight. She had a normal motor and mental development until the age of 23. Later she had functional and cognitive decline following heart failure. Brain MRI showed enlargement of the cerebral arterial and venous system. The changes of central nervous system vasculature occurring in operated cyanotic CHD are not well known. Thanks to advances in this field, more cyanotic CHD patients reach adulthood nowadays and clinicians need to be familiar with the neurological conditions and potential neuroradiological changes.
一位 24 岁的女性患者被诊断为发绀型先天性心脏病,她在 8 岁时接受了矫正手术。她的运动和智力发育正常,直到 23 岁。后来,她因心力衰竭导致功能和认知能力下降。脑部 MRI 显示大脑动脉和静脉系统增大。在接受手术治疗的发绀型先天性心脏病患者中,中枢神经系统血管的变化尚不清楚。由于该领域的进步,现在更多的发绀型先天性心脏病患者能够成年,临床医生需要熟悉神经系统状况和潜在的神经影像学变化。