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

jor stroke in a 19-year-old patient with a univentricular heart Case report (664) Total Article Views Authors: Riemann M, Idorn L, Wagner A, S ndergaard L, Kanters JK Published Date January 2013 Volume 2013:6 Pages 9 - 12 DOI: http://dx.doi.org/10.2147/IJGM.S38158 Received: 15 September 2012 Accepted: 22 November 2012 Published: 10 January 2013 Mads Riemann,1,2 Lars Idorn,3 Aase Wagner,4 Lars S ndergaard,3 J rgen K Kanters1,2 1Department 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.