English Polski
Vol 19 (2024): Continuous Publishing
Case report
Published online: 2024-06-11

open access

Page views 5
Article views/downloads 0
Get Citation

Connect on Social Media

Connect on Social Media

Paradoxical embolism wedged in PFO as a cause of stroke and pulmonary embolism in a 63-year-old woman

Amelia Joanna Mądrecka1, Marcin Antoni Konopka1, Wojciech Król1, Marek Kuch2, Wojciech Braksator1
DOI: 10.5603/fc.97704

Abstract

This study presents the case of a 63-year-old patient hospitalised due to a stroke. Additional tests showed that the stroke was the result of a paradoxical embolus wedged within the foramen ovale, which was visualised by transthoracic 0echocardiography. Due to the overall clinical picture, the presented patient underwent anticoagulant treatment, which allowed for the resolution of the thrombus and improvement of her general condition.

Article available in PDF format

View PDF (Polish) Download PDF file

References

  1. Tsao CW, Aday AW, Almarzooq ZI, et al. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2023 update: a report from the american heart association. Circulation. 2023; 147(8): e93–e9e621.
  2. Strandberg M, Marttila RJ, Helenius H, et al. Transoesophageal echocardiography in selecting patients for anticoagulation after ischaemic stroke or transient ischaemic attack. J Neurol Neurosurg Psychiatry. 2002; 73(1): 29–33.
  3. Pepi M, Evangelista A, Nihoyannopoulos P, et al. European Association of Echocardiography. Recommendations for echocardiography use in the diagnosis and management of cardiac sources of embolism. Eur J Echocardiogr. 2010; 11(6): 461–476.
  4. Muhamed S, Armour CA, Arnoaut MS, et al. Guidelines for the use of echocardiography in the evaluation of a cardiac source of embolism. J Am Soc Echocardiogr. 2016; 29(1): 1–42.
  5. Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc. 1984; 59(1): 17–20.
  6. Myers PO, Bounameaux H, Panos A, et al. Impending paradoxical embolism: systematic review of prognostic factors and treatment. Chest. 2010; 137(1): 164–170.