A young female patient with ventricular septal defect complicated with patent foramen ovale complicated with acute cerebral infarction: A case report.

Abstract

Rationale: Ventricular septal defect (VSD) is the most common non-cyanotic congenital heart disease. Patent foramen ovale (PFO) is a common benign lesion in healthy people.

Patient concerns: The main symptoms are intermittent dizziness and headache, and weakness in the right limb. Echocardiography showed VSD and PFO, and imaging showed cerebral infarction.

Diagnoses: Typical clinical manifestations, echocardiography found VSD, PFO, and imaging examination suggested cerebral infarction, indicating the diagnosis of VSD, PFO, and old cerebral infarction.

Interventions: Surgical treatment includes closure of VSD and percutaneous closure of PFO, as well as anticoagulation and other related drugs.

Outcomes: Since discharge, the patient's speech impairment and right limb weakness have returned to normal without any discomfort.

Lessons: We report a patient with VSD complicated with PFO complicated with cerebral infarction. This case highlights the importance of understanding the specific pathological changes in patients with VSD combined with PFO for treatment and prognosis.