TO CLOSE OR NOT TO CLOSE: PARADOXICAL CORONARY ARTERY EMBOLISM FROM PATENT FORAMEN OVALE

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Patent foramen ovale and stroke prevention -- to close or not to close: a teachable moment.

Story From the Front Lines A 65-year-old man with a history of chronic obstructive pulmonary disease, hyperlipidemia, and hypertension was seen in clinic for hospital follow-up. He had previously been admitted to the hospital with slurred speech and aphasia and diagnosed as having a left middle cerebral artery ischemic infarct. Tissue plasminogen activator was administered with a positive neuro...

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Is closure recommended for patent foramen ovale and cryptogenic stroke? Patent foramen ovale and cryptogenic stroke: to close or not to close? Closure: what else!

A 39-year-old mother of 2 teenage boys complained of severe migraine with aura for 10 years. Otherwise healthy, she suffered an ischemic stroke that rendered her permanently aphasic. Diagnostic evaluation revealed no evidence of atherosclerosis of the carotid arteries or plaques of the ascending aorta and the aortic arch. The ECG showed normal sinus rhythm, and the patient denied any history of...

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Paradoxical embolism via a patent foramen ovale.

To cite: Kumar T, Budnur SC, Mahadevappa NC, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-009818 DESCRIPTION A 32-year-old man recently had a right-sided hemiparesis; a head CT scan revealed left middle cerebral artery (MCA) territory infarct. The patient was haemodynamically stable, with no clinical evidence of deep venous thrombosis (DVT) and was...

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Paradoxical embolism associated with patent foramen ovale.

Introductioi Paradoxical embolism is generally regarded as a rare event but the 2 cases described presented to a single unit within 6 months. This supports the view of Meister et al. (1972) that paradoxical embolism may be far more common than is frequently thought. The second case demonstrates the value of a high index of suspicion in making a clinical diagnosis so that appropriate and early t...

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Patent foramen ovale: is stroke due to paradoxical embolism?

BACKGROUND AND PURPOSE A patent foramen ovale has been reported to be significantly more frequent in young stroke patients than in matched control subjects, and paradoxical embolism has been suggested as the main mechanism of stroke in this situation. The present study was designed to test this hypothesis. METHODS Sixty-eight consecutive patients under 55 years of age presenting with an ische...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2020

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(20)33411-2