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Diffuse enlargement of cerebral vasculature in an adult patient operated for cyanotic congenital heart disease

Published online by Cambridge University Press:  06 April 2020

Ahmed S. Emekli Open the ORCID record for Ahmed S. Emekli [Opens in a new window] ,
Esme Ekizoglu  and
Nilufer Yesilot
Ahmed S. Emekli*
Affiliation:
Cerebrovascular Diseases Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Esme Ekizoglu
Affiliation:
Cerebrovascular Diseases Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Nilufer Yesilot
Affiliation:
Cerebrovascular Diseases Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
*
Author for correspondence: A. S. Emekli, MD, Cerebrovascular Disorders Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, 34093Istanbul, Turkey. Tel: +90 505 246 33 68; E-mail: [email protected]
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Abstract

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.

Keywords

Strokecerebrovascular diseasecyanotic CHDheart failurehypoxia
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 5 , May 2020 , pp. 734 - 736
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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References

Cordina, RL, Celermajer, DS.Chronic cyanosis and vascular function: implications for patients with cyanotic congenital heart disease. Cardiol Young 2010; 20: 242–253.10.1017/S1047951110000466CrossRefGoogle ScholarPubMed
Fyfe, A, Perloff, JK, Niwa, K, et al.Cyanotic congenital heart disease and coronary artery atherogenesis. Am J Cardiol 2005; 96: 283–290.10.1016/j.amjcard.2005.03.060CrossRefGoogle ScholarPubMed
Niwa, K, Perloff, JK, Bhuta, SM, et al.Structural abnormalities of great arterial walls in congenital heart disease: light and electron microscopic analyses. Circulation 2001; 103: 393–400.10.1161/01.CIR.103.3.393CrossRefGoogle ScholarPubMed
Mansour, AM, Bitar, FF, Traboulsi, EI, et al.Ocular pathology in congenital heart disease. Eye (Lond) 2005; 19: 29–34.10.1038/sj.eye.6701408CrossRefGoogle ScholarPubMed
Gewillig, M, Brown, SC.The Fontan circulation after 45 years: update in physiology. Heart 2016; 102: 1081–1086.10.1136/heartjnl-2015-307467CrossRefGoogle ScholarPubMed
Saiki, H, Kurishima, C, Masutani, Set al.Cerebral circulation in patients with Fontan circulation: assessment by carotid arterial wave intensity and stiffness. Ann Thorac Surg 2014; 97: 1394–1399.10.1016/j.athoracsur.2013.10.079CrossRefGoogle ScholarPubMed