Patent foramen ovale with cryptogenic stroke: A case report

Patel,Dhruvil Vinaybhai; Narayana,Chandan Alenahalli; Harish,Rachana; Bhatia,Harsh; Mehta,Shubh; Bhatta,Om Prakash; Singh,Manjeet

doi:10.3892/mi.2024.204

Patent foramen ovale with cryptogenic stroke: A case report

Authors:
- Dhruvil Vinaybhai Patel
- Chandan Alenahalli Narayana
- Rachana Harish
- Harsh Bhatia
- Shubh Mehta
- Om Prakash Bhatta
- Manjeet Singh
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Affiliations: Depatrment of Neurology, GMERS Medical College Gandhinagar, Gandhinagar, Gujarat 382012, India, Bangalore Medical College and Research Institute, Bengaluru, Karnataka 560002, India, Surat Municipal Institute of Medical Education and Research, Surat, Gujarat 395010, India, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat 380016, India, Department of Anesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal 44600, India, Liaquat National Medical College, Karachi, Sindh 74800, Pakistan
Published online on: November 13, 2024 https://doi.org/10.3892/mi.2024.204
Article Number: 5
Copyright : © Patel et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

Patent foramen ovale (PFO) is a common congenital heart defect that can contribute to cryptogenic stroke, particularly in younger patients lacking traditional risk factors. The present study describes the case of a 14‑year‑old male patient who experienced an acute ischemic stroke without identifiable atheroembolic risk factors. Comprehensive diagnostic imaging revealed a marked right‑to‑left shunt through a PFO, identified as the probable cause of the stroke. The patient was treated with dual antiplatelet therapy and subsequently underwent successful percutaneous PFO closure. At 6 months following the procedure, the patient exhibited notable neurological recovery. The present case report highlights the critical need for evaluating PFO as a potential etiology of cryptogenic stroke in younger populations, emphasizing the advantages of a multidisciplinary approach and timely intervention in preventing recurrent events.

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