Paradoxical embolism due to a persistent patent foramen ovale. Report of one case

被引:0
作者
Fuentes Latorre, Eric [1 ,3 ]
Vidal Hagemeijer, Barbara [2 ]
机构
[1] Hosp Reg Talca, CR Cardiol, Septima Region Del Maule, Chile
[2] Hosp Clin Barcelona, Unidad Ecocardiog, Barcelona, Spain
[3] Hosp Clin Barcelona, Ecocardiog, Barcelona, Spain
关键词
Echocardiography; Embolism; Paradoxical; Foramen Ovale; Patent; Stroke; MEDICAL THERAPY; CRYPTOGENIC STROKE; CLOSURE; METAANALYSIS; PREVENTION; EVENTS;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. A thrombectomy was performed. Searching for possible sources of emboli, a patent foramen ovale was detected in an echocardiography, with an hypoechogenic examination image passing through it. Anticoagulant therapy was started and the patient had an uneventful evolution.
引用
收藏
页码:1210 / 1214
页数:5
相关论文
共 25 条
[1]   Short and Long Term Complications of Device Closure of Atrial Septal Defect and Patent Foramen Ovale: Meta-Analysis of 28,142 Patients From 203 Studies [J].
Abaci, Adnan ;
Unlu, Serkan ;
Alsancak, Yakup ;
Kaya, Ulker ;
Sezenoz, Burak .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2013, 82 (07) :1123-1138
[2]   Diagnosis and management of entrapped embolus through a patent foramen ovale [J].
Aboyans, V ;
Lacroix, P ;
Ostyn, E ;
Cornu, E ;
Laskar, M .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1998, 14 (06) :624-628
[3]   Meta-Analysis of Transcatheter Closure Versus Medical Therapy for Patent Foramen Ovale in Prevention of Recurrent Neurological Events After Presumed Paradoxical Embolism [J].
Agarwal, Shikhar ;
Bajaj, Navkaranbir Singh ;
Kumbhani, Dharam J. ;
Tuzcu, E. Murat ;
Kapadia, Samir R. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2012, 5 (07) :777-789
[4]  
[Anonymous], 2014, STROKE
[5]  
[Anonymous], ECHOCARDIOGRAPHY
[6]   Closure of Patent Foramen Ovale versus Medical Therapy after Cryptogenic Stroke [J].
Carroll, John D. ;
Saver, Jeffrey L. ;
Thaler, David E. ;
Smalling, Richard W. ;
Berry, Scott ;
MacDonald, Lee A. ;
Marks, David S. ;
Tirschwell, David L. .
NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (12) :1092-1100
[7]   Closure or Medical Therapy for Cryptogenic Stroke with Patent Foramen Ovale [J].
Furlan, Anthony J. ;
Reisman, Mark ;
Massaro, Joseph ;
Mauri, Laura ;
Adams, Harold ;
Albers, Gregory W. ;
Felberg, Robert ;
Herrmann, Howard ;
Kar, Saibal ;
Landzberg, Michael ;
Raizner, Albert ;
Wechsler, Lawrence .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (11) :991-999
[8]   Atrial Fibrillation in Patients with Cryptogenic Stroke [J].
Gladstone, David J. ;
Spring, Melanie ;
Dorian, Paul ;
Panzov, Val ;
Thorpe, Kevin E. ;
Hall, Judith ;
Vaid, Haris ;
O'Donnell, Martin ;
Laupacis, Andreas ;
Cote, Robert ;
Sharma, Mukul ;
Blakely, John A. ;
Shuaib, Ashfaq ;
Hachinski, Vladimir ;
Coutts, Shelagh B. ;
Sahlas, Demetrios J. ;
Teal, Phil ;
Yip, Samuel ;
Spence, J. David ;
Buck, Brian ;
Verreault, Steve ;
Casaubon, Leanne K. ;
Penn, Andrew ;
Selchen, Daniel ;
Jin, Albert ;
Howse, David ;
Mehdiratta, Manu ;
Boyle, Karl ;
Aviv, Richard ;
Kapral, Moira K. ;
Mamdani, Muhammad .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (26) :2467-2477
[9]   Magnetic Resonance Angiography Detection of Abnormal Carotid Artery Plaque in Patients With Cryptogenic Stroke [J].
Gupta, Ajay ;
Gialdini, Gino ;
Lerario, Michael P. ;
Baradaran, Hediyeh ;
Giambrone, Ashley ;
Navi, Babak B. ;
Marshall, Randolph S. ;
Iadecola, Costantino ;
Kamel, Hooman .
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2015, 4 (06) :e002012
[10]   INCIDENCE AND SIZE OF PATENT FORAMEN OVALE DURING THE 1ST 10 DECADES OF LIFE - AN AUTOPSY STUDY OF 965 NORMAL HEARTS [J].
HAGEN, PT ;
SCHOLZ, DG ;
EDWARDS, WD .
MAYO CLINIC PROCEEDINGS, 1984, 59 (01) :17-20