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European Heart Journal 1993 14(12):1717-1718;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The Europen Society of Cardiology

Aneurysm of the interventricular membranous septum with thrombo-embolism — an indication for surgical repair?

D. THOMAS*, J. SALLOUM* and G. RANCUREL{dagger}

*Department of Cardiology, Groupe Hospitalier Pitié-Salpétrière 47 bd de l'Hopital 75651 Paris Cedex 13 France
{dagger}Department of Neurology, Groupe Hospitalier Pitié-Salpétrière 47 bd de l'Hopital 75651 Paris Cedex 13 France

Received 22 March 1993; revised 7 July 1993; .

Correspondence Pr Daniel Thomas, Department of Cardiology Groupe Hospitalier Pitié-Salpétrière, 47 bd de l'Hopital 75651 Paris cedex 13 France

Abstract

A 40-year-old woman with a significant neurological history presented with right hemiparesia, paraesthesia of the right upper member and of the hemiface. Computer tomography scanning revealed hypodensity along the right lateral ventricle which corresponded to the left hemiplegia which had developed when she was 20 years old. Arteriograply of the four cervical axes was normal. Echocardiography visualizedan aneurysm of the membranous septum free of thrombosis without ventricular septal defect. The embolism was thought to be of cardiac origin and a decision was taken to correct it by surgery. Ten years after surgical repair no other neurological event has occurred

Key Words: Aneurysm of the interventricular membranous septum • thrombo-embolism • surgery


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