Major stroke in a 19-year-old patient with a univentricular heart.
Patients with univentricular heart malformations are at increased risk of suffering from thromboembolic events. We present a case of a 19-year-old woman born with a univentricular heart who suffered a major stroke while being treated with only salicylic acid. At least 20% of patients with univentricular hearts have been reported to experience thromboembolic events, of which 25% are fatal. Despite the high incidence of thromboembolic events, no consensus has been reached regarding the role of long-term anti-thrombotic treatment in this group of patients. This lack of consensus warrants future studies that compare the different therapeutic strategies.
Department of Internal Medicine, Elsinore Hospital, Elsinore, Denmark ; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Mads
M
Riemann
Lars
L
Idorn
Aase
A
Wagner
Lars
L
Søndergaard
Jørgen K
JK
Kanters
antithrombotic treatment; stroke; univentricle