Ischemic stroke in young women with a patent foramen ovale: cases reports
https://doi.org/10.15829/1560-4071-2025-6091
EDN: JHWEBW
Abstract
Introduction. Causal relationship between minor congenital heart defects and neurological pathology remains a relevant and debatable issue.
Brief description. Two cases of ischemic stroke of different locations associated with patent foramen ovale (PFO) are presented in patients aged 20 and 32 years without other risk factors.
Conclusion. In both cases of cryptogenic stroke, an examination for PFO by transesophageal echocardiography and bilateral cerebral microemboli monitoring were performed. Diagnosis of a right-to-left shunt in the first case was difficult and required a repeat bubble and transesophageal echocardiography with contrast enhancement and the Valsalva maneuver. Confirmation of functioning PFO allowed us to clarify the pathogenetic variant of stroke, determine the tactics of treatment and secondary prevention measures.
About the Authors
E. E. Matvienko
Voronezh Regional Clinical Hospital № 2
Russian Federation
Competing Interests:
Russian Federation
Voronezh
Competing Interests:
None
M. D. Matvienko
Burdenko Voronezh State Medical University
Russian Federation
Competing Interests:
Russian Federation
Voronezh
Competing Interests:
None
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- The presented case reports demonstrate the significance of patent for a men ovale in ischemic stroke in young patients without other risk factors.
- In the case of cryptogenic stroke, it is of great importance to identify a right-to-left cardiac shunt using all available diagnostic methods.
- Primary care physicians should be informed about the association of patent foramen ovale and neurological diseases, primarily stroke, the risk of paradoxical embolism, and primary and secondary prevention measures.
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For citations:
Matvienko E.E., Matvienko M.D. Ischemic stroke in young women with a patent foramen ovale: cases reports. Russian Journal of Cardiology. 2025;30(5S):6091. (In Russ.) https://doi.org/10.15829/1560-4071-2025-6091. EDN: JHWEBW
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