Wang Jiaqi, Liu Huiliang, Gao Man, Zhang Feifei, Dang Yi, Qi Xiaoyong
Graduate School of Hebei Medical University, Hebei, Shijiazhuang, China.
Cardiovascular Department, Hebei General Hospital, Hebei, Shijiazhuang, China.
Medicine (Baltimore). 2025 May 23;104(21):e42035. doi: 10.1097/MD.0000000000042035.
Ventricular septal defect (VSD) is the most common non-cyanotic congenital heart disease. Patent foramen ovale (PFO) is a common benign lesion in healthy people.
The main symptoms are intermittent dizziness and headache, and weakness in the right limb. Echocardiography showed VSD and PFO, and imaging showed cerebral infarction.
Typical clinical manifestations, echocardiography found VSD, PFO, and imaging examination suggested cerebral infarction, indicating the diagnosis of VSD, PFO, and old cerebral infarction.
Surgical treatment includes closure of VSD and percutaneous closure of PFO, as well as anticoagulation and other related drugs.
Since discharge, the patient's speech impairment and right limb weakness have returned to normal without any discomfort.
We report a patient with VSD complicated with PFO complicated with cerebral infarction. This case highlights the importance of understanding the specific pathological changes in patients with VSD combined with PFO for treatment and prognosis.
室间隔缺损(VSD)是最常见的非紫绀型先天性心脏病。卵圆孔未闭(PFO)是健康人群中常见的良性病变。
主要症状为间歇性头晕、头痛及右肢无力。超声心动图显示室间隔缺损和卵圆孔未闭,影像学检查显示脑梗死。
典型临床表现、超声心动图发现室间隔缺损、卵圆孔未闭,影像学检查提示脑梗死,诊断为室间隔缺损、卵圆孔未闭及陈旧性脑梗死。
手术治疗包括室间隔缺损封堵术和经皮卵圆孔未闭封堵术,以及抗凝等相关药物治疗。
出院后,患者言语障碍及右肢无力恢复正常,无任何不适。
我们报告了一例室间隔缺损合并卵圆孔未闭并发脑梗死的患者。该病例强调了了解室间隔缺损合并卵圆孔未闭患者的具体病理变化对治疗和预后的重要性。