Managing Patent Foramen Ovale (PFO) in Adults With Cryptogenic Stroke and Lymphoma: A Multidisciplinary Perspective

被引:0
作者
Khalid, Noman [1 ]
Abdullah, Muhammad [2 ]
Ozgur, Sacide S. [1 ]
Elkattawy, Sherif [3 ]
Shamoon, Fayez [3 ]
机构
[1] St Josephs Reg Med Ctr, Internal Med, Paterson, NJ 07530 USA
[2] Shaikh Zayed Fed Postgrad Med Inst, Shaikh Khalifa Bin Zayed Al Nahyan Med & Dent Coll, Publ Hlth & Community Med, Shaikh Zayed Med Complex, Lahore, Pakistan
[3] St Josephs Reg Med Ctr, Cardiol, Paterson, NJ USA
关键词
lymphoma; bubble study; paradoxical emboli; cryptogenic stroke; patent foramen ovale; CLOSURE;
D O I
10.7759/cureus.40316
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cryptogenic strokes are strokes with no clear underlying cause. Patent foramen ovale (PFO) is believed to be one of the causes of cryptogenic strokes. To manage such cases, closing the PFO is usually considered an option. We report a case of a middle-aged male with lymphoma who presented with an altered mental status due to a stroke, which, on investigation, was found to be due to an underlying PFO. This report explores the factors that must be considered when making the decision to close the PFO and emphasizes the vital role of a multi-disciplinary team in determining the best course of action for patients with cryptogenic strokes.
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共 9 条
  • [1] Updated meta-analysis of closure of patent foramen ovale versus medical therapy after cryptogenic stroke
    Bin Nasir, Usama
    Qureshi, Wacias T.
    Jogu, Humanatha
    Wolfe, Elizabeth
    Dutta, Abhishek
    Majeed, Chaudhry Nasir
    Tan, Walter A.
    [J]. CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2019, 20 (03) : 187 - 193
  • [2] Hampton T, 2022, STATPEARLS
  • [3] Patent foramen ovale closure to prevent secondary neurologic events
    Jasper, Rosie
    Blankenship, James C.
    [J]. EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2017, 44 : 1 - 11
  • [4] Kavinsky Clifford J, 2022, J Soc Cardiovasc Angiogr Interv, V1, P100039, DOI 10.1016/j.jscai.2022.100039
  • [5] Heterogeneity of Treatment Effects in an Analysis of Pooled Individual Patient Data From Randomized Trials of Device Closure of Patent Foramen Ovale After Stroke
    Kent, David M.
    Saver, Jeffrey L.
    Kasner, Scott E.
    Nelson, Jason
    Carroll, John D.
    Chatellier, Gilles
    Derumeaux, Genevieve
    Furlan, Anthony J.
    Herrmann, Howard C.
    Juni, Peter
    Kim, Jong S.
    Koethe, Benjamin
    Lee, Pil Hyung
    Lefebvre, Benedicte
    Mattle, Heinrich P.
    Meier, Bernhard
    Reisman, Mark
    Smalling, Richard W.
    Soendergaard, Lars
    Song, Jae-Kwan
    Mas, Jean-Louis
    Thaler, David E.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2021, 326 (22): : 2277 - 2286
  • [6] Patent foramen ovale closure, antiplatelet therapy or anticoagulation therapy alone for management of cryptogenic stroke? A clinical practice guideline
    Kuijpers, Ton
    Spencer, Frederick A.
    Siemieniuk, Reed A. C.
    Vandvik, Per O.
    Otto, Catherine M.
    Lytvyn, Lyubov
    Mir, Hassan
    Jin, Albert Y.
    Manja, Veena
    Karthikeyan, Ganesan
    Hoendermis, Elke
    Martin, Janet
    Carballo, Sebastian
    O'Donnell, Martin
    Vartdal, Trond
    Baxter, Christine
    Patrick-Lake, Bray
    Scott, Joanie
    Agoritsas, Thomas
    Guyatt, Gordon
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2018, 362
  • [7] Advances in the management of cardioembolic stroke associated with patent foramen ovale
    Mac Grory, Brian
    Ohman, E. Magnus
    Feng, Wuwei
    Xian, Ying
    Yaghi, Shadi
    Kamel, Hooman
    Reznik, Michael E.
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2022, 376
  • [8] Patent foramen ovale and cryptogenic stroke
    Nakanishi, Koki
    Yoshiyama, Minoru
    Homma, Shunichi
    [J]. TRENDS IN CARDIOVASCULAR MEDICINE, 2017, 27 (08) : 575 - 581
  • [9] Antithrombotic and Thrombolytic Therapy for Valvular Disease Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
    Whitlock, Richard P.
    Sun, Jack C.
    Fremes, Stephen E.
    Rubens, Fraser D.
    Teoh, Kevin H.
    [J]. CHEST, 2012, 141 (02) : E576S - E600S