M. Rachko et al., Cryptogenic ischemic stroke and paradoxical embolism: Should a patent foramen ovale be closed? Case report and literature review, ANGIOLOGY, 52(11), 2001, pp. 793-799
Paradoxical embolism is a well-recognized cause of stroke. While the diagno
sis in the majority of the cases with a patent foramen ovale is presumptive
, numerous treatment strategies have been described. However, there is no s
ingle approach that has been overwhelmingly recommended for these patients.
A patient is described who presented with ischemic stroke. Transesophageal
echocardiography revealed a thrombus that straddled a patent foramen ovale
. Anticoagulation with intravenous heparin resulted in resolution of thromb
us and neurologic deficit. The literature regarding diagnosis and treatment
of paradoxical embolism in the presence of patent foramen ovale is reviewe
d.