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A Successful Mechanical Thrombectomy for Acute Basilar Artery Occlusion in a Patient Who Had Undergone Fontan Operation

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¹ÚÀ±Á÷ ( Park Yun-Jik ) 
University of Ulsan College of Medicine Asan Medical Center Department of Neurology

±ÇÇÏ´Ô ( Kwon Ha-Nim ) 
University of Ulsan College of Medicine Asan Medical Center Department of Neurology
À̱ԺÀ ( Lee Kyu-Bong ) 
University of Ulsan College of Medicine Asan Medical Center Department of Neurology
ÀÌÇϳª ( Lee Ha-Na ) 
University of Ulsan College of Medicine Asan Medical Center Department of Pediatrics
¹éÀç¼÷ ( Baek Jae-Suk ) 
University of Ulsan College of Medicine Asan Medical Center Department of Pediatrics
¼ÛÀ±¼± ( Song Yun-Sun ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
Àü»ó¹ü ( Jeon Sang-Beom ) 
University of Ulsan College of Medicine Asan Medical Center Department of Neurology
±è¿¬Á¤ ( Kim Yeon-Jung ) 
University of Ulsan College of Medicine Asan Medical Center Department of Neurology
ÀÌÀºÀç ( Lee Eun-Jae ) 
University of Ulsan College of Medicine Asan Medical Center Department of Neurology

Abstract


Adults with a congenital heart disease (CHD) are increasing in number owing to improvement in diagnostics, medical management, and surgical techniques in infant and child patients. These patients are at increased risk of stroke; their improved longevity has increased the chance of adult neurologists encountering CHD patients. Adults with CHD may have distinctive stroke characteristics, because they have different hemodynamic features that last for a long time after corrective surgery. Herein we present the case of a female patient who had received Fontan operation due to functional single ventricle at the age of five. She developed sudden basilar occlusion at the age of 19 and was successfully treated with aspiration thrombectomy even after 24 hours of the symptom onset.

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Acute stroke; Thrombectomy; Fontan procedure

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