Терапевтический архив (Oct 2022)

Patent foramen ovale as the cause of recurrent embolic strokes. Case report

  • Andrey L. Komarov,
  • Elena N. Krivosheeva,
  • Maksim I. Makeev,
  • Evgeny V. Merkulov,
  • Maria I. Tripoten,
  • Elizaveta P. Panchenko

DOI
https://doi.org/10.26442/00403660.2022.09.201842
Journal volume & issue
Vol. 94, no. 9
pp. 1109 – 1114

Abstract

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А clinical case of a young patient with recurrent ischemic strokes is presented. The problems of diagnostic embolic strokes are discussed. We set out the algorithm for identifying patients, in whom patent foramen ovale is the most probable cause of embolic stroke. Detailed consideration of imaging diagnostic methods possibility is included. Hypothesis of probable source of cardioembolism from patent foramen ovale is presented. Recommendations for the secondary prevention of recurrent ischemic stroke, associated with patent foramen ovale, are provided. We also considered the issues of antithrombotic treatment.

Keywords