Recurrent Stroke and Massive Right-to-Left Shunt

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Recurrent Stroke and Massive Right-to-Left Shunt

Joaquín Serena, MD, PhD; Joan Marti-Fàbregas, MD, PhD; Estevo Santamarina, MD, PhD; Juan Jesús Rodríguez, MD; María Jesús Perez-Ayuso, MD; Jaime Masjuan, MD, PhD; Tomás Segura, MD, PhD; Jaime Gállego, MD; Antonio Dávalos, MD, PhD; on Behalf of the CODICIA (Right-to-Left Shunt in Cryptogenic Stroke) Study; for the Stroke Project of the Cerebrovascular Diseases Study Group, Spanish Society of Neu...

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Bubble study in patients with massive right-to-left shunt and recurrent stroke.

Stroke welcomes Letters to the Editor and will publish them, if suitable, as space permits. They should not exceed 750 words (including references) and may be subject to editing or abridgment. Please submit letters in duplicate, typed double-spaced. Include a fax number for the corresponding author and a completed copyright transfer agreement form (available online at To the Editor: We thank Se...

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Recurrent stroke and massive right-to-left shunt: results from the prospective Spanish multicenter (CODICIA) study.

BACKGROUND AND PURPOSE Few studies have prospectively examined the risk of recurrent stroke associated with patent foramen ovale. We present the results of the Spanish right-to-left shunt (RLSh) multicenter study. METHODS Four hundred eighty-six patients with cryptogenic stoke were included at 17 participating hospitals. Patients were examined by contrast transcranial Doppler methods at basel...

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Transient right-to-left shunt in massive pulmonary embolism.

A 56-yr-old man, two months after an operation for an acoustic neurinoma, gradually developed dyspnea. Massive pulmonary embolism (MPE), with a significant right-to-left (R-L) shunt, was seen in a perfusion scan of the lungs with Tc-99m MAA. Radioactivity was noted in the thyroid, spleen, kidneys and brain. A cardiac ultrasound study did not reveal intracardiac shunting. A few days later, when ...

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Right-to-Left Shunt

The patient is a 25-year-old woman transferred to Hermann Hospital 3 days after admission to an outlying facility. The patient initially woke up at 3 AM with acute onset of nausea, mild headache, hemoptysis (1⁄4/4 cup of fresh blood), and worsening shortness of breath. She then noticed weakness in the right half of her body associated with dysarthria. She had no associated chest pain or palpita...

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ژورنال

عنوان ژورنال: Stroke

سال: 2008

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.108.521427