Cerebrovascular Accident in A 9-Month-Old With Cyanotic Congenital Heart Disease

Introduction: In adults, cerebrovascular accidents (CVA) are often the result of atherosclerotic disease, underlying cardiac arrhythmias, or hypertension. CVA are rarely seen in pediatric patients, but cyanotic congenital heart disease (CHD) patients are at increased risk of a thromboembolic event. Cyanotic CHD patients with a single ventricle undergo multiple procedures in the palliation of their heart lesions including the Glenn procedure, a direct anastomosis of the superior vena cava to the pulmonary arteries. These procedures improve but do not resolve underlying systemic cyanosis, which leaves patients susceptible to polycythemia, anemia, and reduced end-organ perfusion at …