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A rare case of Tetralogy of Fallot with right atrial thrombus presenting with hemiplegia complicating the clinical course
Author(s) -
Sharma Parag,
Samal Satyajit,
Saha Debmalya,
Naqvi Sayyed E. H.,
Aggarwal Saket,
Geelani Muhammad A.
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15792
Subject(s) - tetralogy of fallot , medicine , cardiology , thrombus , complication , tetralogy , surgery , heart disease
Background Cerebrovascular accidents represent a dangerous complication of cyanotic children with tetralogy of Fallot with the incidence of 8.6%. Tetralogy of Fallot has been associated with raised hematocrit with low arterial saturation. Aim Here we describe an 18 months old female child of Tetralogy of Fallot with cyanotic spells acute onset right‐sided hemiplegia with right atrial thrombus who underwent emergency surgery with the intraoperative predicament. Materials and methods A female child with Tetralogy of Fallot presented to emergency department with acute onset right sided hemiplegia. After hemodynamic stabilization the patient underwent series of investigations and was diagnosed to have thrombus of size in right atrium. Discussion Among the few causes causing neurological complications in Tetralogy and Fallot, right atrial thrombus appears to be a rare but possible cause. Conclusion ntracardiac thrombus can be considered as a cause for embolic neurological events in patients with Tetralogy of Fallot.