Key result
Non-surgical CVA occurs in ~4% of congenital heart disease patients and varies by malformation type.
Observational (n=72)
No
Cerebrovascular accidents are a recognized complication of congenital heart disease, with incidence varying by the specific type of malformation.
May warrant lesion-specific stroke vigilance in congenital heart disease; leaves open prospective validation of hypoxia-polycythemia links.
Introduction Cerebrovascular accidents have long been recognized as a complication of congenital heart disease and are mentioned by Batten,1White,2Abbott,3Ford,4and others. Berthrong and Sabiston5reported on cerebral lesions in 162 cases of congenital heart disease. Taussig6emphasized their occurrence in congenital heart disease and related them to polycythemia and low oxygen content of the blood. In an earlier paper7we presented the incidence of various neurologic complications not related to cardiac surgery in 1875 patients with congenital heart disease. Seventy-two patients in our series had suffered a cerebrovascular accident. The present report is based on an analysis of their records. All of these patients have been seen and followed by the cardiac clinic of the Harriet Lane Home, The Johns Hopkins Hospital. I. Incidence in Congenital Heart Disease The incidence of cerebrovascular accidents varied with the type of congenital malformation
No takes yet. Share an insight, caveat, or question.
H. Richard Tyler (1957) conducted an observational in Congenital Heart Disease (n=72). Type of congenital malformation was evaluated on Incidence of cerebrovascular accidents. Among 1875 patients with congenital heart disease, 72 suffered a cerebrovascular accident not related to cardiac surgery, with the incidence varying by the type of congenital malformation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: