2000
DOI: 10.1159/000016051
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Acute Lethal Stroke Affecting All Brain-Supplying Cerebral Arteries due to Paradoxical Embolism through a Patent Foramen ovale

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“…Under favourable conditions, a PFO may allow the 'escape' of a thrombus into the arterial system where it can be removed by surgical manoeuvres. In unfavourable cases, however, the escaped thrombembolic material may obliterate the cerebral vessels with fatal consequences [5]. As in patients with both PFO and atrial septal aneurysm, the risk of recurrent cerebrovascular events is fourfold higher than in patients with PFO alone and risk of major pulmonary embolism is rather small, preventive strategies such as anticoagulation other than aspirin or PFO closure should be considered [12].…”
Section: Case Reportmentioning
confidence: 99%
See 1 more Smart Citation
“…Under favourable conditions, a PFO may allow the 'escape' of a thrombus into the arterial system where it can be removed by surgical manoeuvres. In unfavourable cases, however, the escaped thrombembolic material may obliterate the cerebral vessels with fatal consequences [5]. As in patients with both PFO and atrial septal aneurysm, the risk of recurrent cerebrovascular events is fourfold higher than in patients with PFO alone and risk of major pulmonary embolism is rather small, preventive strategies such as anticoagulation other than aspirin or PFO closure should be considered [12].…”
Section: Case Reportmentioning
confidence: 99%
“…In recent years, patent foramen ovale (PFO) has gained increasing attention as a potential risk factor for stroke via the mechanism of paradoxical embolism [1][2][3][4][5][6]. A prerequisite is that thrombotic material embolizes from the venous system to the right heart.…”
Section: Introductionmentioning
confidence: 99%