Open AccessPatent foramen ovale as the cause of recurrent embolic strokes. Case report
Author(s) -
А. Л. Комаров,
Елена Николаевна Кривошеева,
М. И. Макеев,
Е. В. Меркулов,
M. Tripoten,
E. P. Panchenko
Publication year - 2022
Publication title -
terapevtičeskij arhiv
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.181
H-Index - 14
eISSN - 2309-5342
pISSN - 0040-3660
DOI - 10.26442/00403660.2022.09.201842
Subject(s) - patent foramen ovale , medicine , foramen ovale (heart) , stroke (engine) , antithrombotic , embolic stroke , cardiology , ischemic stroke , surgery , radiology , ischemia , mechanical engineering , migraine , engineering
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.