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Major stroke in a 19-year-old patient with a univentricular heart

Authors Riemann M, Idorn L, Wagner A, Søndergaard L, Kanters J

Received 15 September 2012

Accepted for publication 22 November 2012

Published 9 January 2013 Volume 2013:6 Pages 9—12


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Mads Riemann,1,2 Lars Idorn,3 Aase Wagner,4 Lars Søndergaard,3 Jørgen K Kanters1,2

Department of Internal Medicine, Elsinore Hospital, Elsinore, Denmark; 2Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; 3Department of Cardiology, Copenhagen University Hospital, Section 2014, Rigshospitalet, Copenhagen, Denmark; 4Department of Radiology, Copenhagen University Hospital, Section 3023, Rigshospitalet, Copenhagen, Denmark

Abstract: 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.

Keywords: univentricle, stroke, antithrombotic treatment

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