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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Massive interventricular septal aneurysm and stroke in a healthy young patient: Guilt by association?
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Massive interventricular septal aneurysm and stroke in a healthy young patient: Guilt by association?

机译：健康年轻患者中大规模的间隔性动脉瘤和中风：由关联有罪吗？

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摘要

Aneurysm of the membranous interventricular septum is an uncommon cardiac defect that is, on rare occasions, associated with embolic stroke. We describe here the case of an otherwise healthy, 41-year-old man who presented to the hospital with acute-onset confusion and left-sided body weakness attributed to a right middle cerebral artery ischemic stroke. He experienced a nearly complete resolution of deficits following systemic thrombolytic therapy. After an extensive workup, the presumed mechanism of stroke was a thromboembolus that originated in a massive aneurysm of the patient's membranous interventricular septum. Due to a perceived risk of surgical morbidity, the patient was managed conservatively with anticoagulation. He denied further events and reported nearly full function at follow-up.
机译：膜间隔内隔的动脉瘤是一种罕见的心脏缺陷，即在与栓塞中风相关的罕见场合。 我们在这里描述了另一种健康，41岁的男子的案例，他们呈现给医院，患有急性发作的混乱和左侧身体弱点，归因于右中脑动脉缺血性卒中。 他经历了在全身溶栓治疗后几乎完全解决了赤字。 在广泛的余处后，中风的假定机制是血栓栓塞，起源于患者膜隙间隔内隔的巨大动脉瘤。 由于手术发病率的感知风险，患者保守地管理抗凝治疗。 他否认了进一步的活动，并报告了随访时的近乎全部功能。

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