Volume 21, Number 1 (Scientific Journal of Hamadan University of Medical Sciences-Spring 2014)                   Sci J Hamadan Univ Med Sci 2014, 21(1): 72-75 | Back to browse issues page


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Mazdeh M, Khazaei M. A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein's Anomaly. Sci J Hamadan Univ Med Sci . 2014; 21 (1) :72-75
URL: http://sjh.umsha.ac.ir/article-1-107-en.html

Associate Professor of Neurology, School of Medicine, Hamadan University of Medical Sciences & Health Services, Hamadan, Iran. , mehrdokhtmazdeh@yahoo.com
Abstract:   (981 Views)

Introduction: Ebstein's anomaly (EA) is a rare congenital malformation of the tricuspid valve, often associated with PFO, which is present in 80-90% of patients & predisposes to para-doxical embolization.

Case Report: The case described was a 30 year old female, in the post partum phase, (ten days after normal vaginal delivery) who was presented to the emergency department with seizure & Rt sided hemiplegia & aphasia. On brain computed tomography scan there was large in-farct of Lt sided hemisphere in fronto temporopartial, and her brain MRI subsequently con-firmed the infarct. Laboratory tests including coagulation study & infectious tests were nor-mal. But electrocardiogram showed AG block grade I. Trans thoracic and Trans esophageal echocardiography revealed Ebstein's anomaly. Dynamic cardiac MRI showed severe tricus-pid regurgitation due to sown ward displacement of tricuspid valve to apical heart associated with patent foramen oral & ASD (Ejection fraction of right chamber was normal and no evi-dence of clot).

 Conclusion: After ruling out the other diagnoses, paradoxical emboli was considered as the cause leading to the stroke in this case.

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Type of Study: Case Report | Subject: Special

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