Clinical practice - Patent foramen ovale in young adults with unexplained stroke

被引：124
作者：
Kizer, JR
Devereux, RB
机构：
[1] Cornell Univ, Weill Med Coll, Dept Med, New York, NY USA
[2] Cornell Univ, Weill Med Coll, Dept Publ Hlth, New York, NY USA
来源：
NEW ENGLAND JOURNAL OF MEDICINE | 2005年 / 353卷 / 22期
关键词：
D O I：
10.1056/NEJMcp043981
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 38-year-old man notes abrupt loss of vision in his right visual field while reading. He has no significant medical history and reports that he neither smokes nor uses alcohol or illicit drugs. Physical examination reveals right homonymous hemianopia but no other abnormalities. Magnetic resonance imaging reveals acute left occipital infarction and normal head and neck vessels. Transesophageal echocardiography shows a patent foramen ovale without atrial septal aneurysm. What are the implications of this finding, and what therapy should be recommended? Copyright © 2005 Massachusetts Medical Society.
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收藏
页码：2361 / 2372
页数：12
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