Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review

Atrial septal defect (ASD) is a common congenital anomaly that increases the risk of heart failure as well as strokes which can lead to cognitive impairment. The risk of stroke is higher when pulmonary hypertension develops and there is reversal of shunt. Stroke in ASD may be due to paradoxical embo...

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Autores principales: Wiafe, Yaw Amo, Amponsah, Gordon Manu, Asafu Adjaye Frimpong, George, Owusu, Isaac Kofi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225960/
https://www.ncbi.nlm.nih.gov/pubmed/37255701
http://dx.doi.org/10.1177/11795476231176713
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author Wiafe, Yaw Amo
Amponsah, Gordon Manu
Asafu Adjaye Frimpong, George
Owusu, Isaac Kofi
author_facet Wiafe, Yaw Amo
Amponsah, Gordon Manu
Asafu Adjaye Frimpong, George
Owusu, Isaac Kofi
author_sort Wiafe, Yaw Amo
collection PubMed
description Atrial septal defect (ASD) is a common congenital anomaly that increases the risk of heart failure as well as strokes which can lead to cognitive impairment. The risk of stroke is higher when pulmonary hypertension develops and there is reversal of shunt. Stroke in ASD may be due to paradoxical emboli from the right heart or a left ventricular thrombus which develops as a result of atrial fibrillation, a common arrhythmia in ASD. We present a case of a 32-year-old Ghanaian man with history of ASD who presented with progressive memory loss with magnetic resonance imaging scan of the brain showing multiple infarcts, microvascular disease, and cerebral atrophy.
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spelling pubmed-102259602023-05-30 Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review Wiafe, Yaw Amo Amponsah, Gordon Manu Asafu Adjaye Frimpong, George Owusu, Isaac Kofi Clin Med Insights Case Rep Case Report Atrial septal defect (ASD) is a common congenital anomaly that increases the risk of heart failure as well as strokes which can lead to cognitive impairment. The risk of stroke is higher when pulmonary hypertension develops and there is reversal of shunt. Stroke in ASD may be due to paradoxical emboli from the right heart or a left ventricular thrombus which develops as a result of atrial fibrillation, a common arrhythmia in ASD. We present a case of a 32-year-old Ghanaian man with history of ASD who presented with progressive memory loss with magnetic resonance imaging scan of the brain showing multiple infarcts, microvascular disease, and cerebral atrophy. SAGE Publications 2023-05-25 /pmc/articles/PMC10225960/ /pubmed/37255701 http://dx.doi.org/10.1177/11795476231176713 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Wiafe, Yaw Amo
Amponsah, Gordon Manu
Asafu Adjaye Frimpong, George
Owusu, Isaac Kofi
Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
title Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
title_full Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
title_fullStr Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
title_full_unstemmed Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
title_short Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
title_sort progressive memory decline in a patient with atrial septal defect: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225960/
https://www.ncbi.nlm.nih.gov/pubmed/37255701
http://dx.doi.org/10.1177/11795476231176713
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