title: Adult cyanotic congenital heart disease: an unusual cause of stroke.
abstract: A 33-year-old male patient with uncorrected tetralogy of Fallot was hospitalised for multiple peripheral arterial emboli. Bilateral above-knee amputation had been done after unsuccessful femoral embolectomy. A large thrombus was detected in the apical portion of the left ventricle which was the source of the embolus.The patient complained of mild frontal headache and progressive right-sided weakness shortly after an echocardiographic examination. A computed tomography (CT) scan revealed a left middle cerebral artery territory infarct. Patients with grown-up cyanotic congenital heart disease are at increased risk of thromboembolic cerebrovascular events. This report highlights the necessity for physicians to be alert for uncommon causes of acute stroke.
authors.affiliation: Department of Cardiology, Faculty of Medicine, BezmiAlem Foundation University, Istanbul, Turkey. ahmetbacaxiz@gmail.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bacaksiz
authors.forename: Osman
authors.initials: O
authors.lastname: Sonmez
authors.forename: Mehmet
authors.initials: M
authors.lastname: Akif
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kayrak
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*; D013771:Tetralogy of Fallot / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed