Ischemic stroke in young women with a patent foramen ovale: cases reports

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...

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Main Authors: E. E. Matvienko, M. D. Matvienko
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2025-05-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/6091
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author E. E. Matvienko
M. D. Matvienko
author_facet E. E. Matvienko
M. D. Matvienko
author_sort E. E. Matvienko
collection DOAJ
description 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.
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language Russian
publishDate 2025-05-01
publisher «FIRMA «SILICEA» LLC
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series Российский кардиологический журнал
spelling doaj-art-d244d1395eb94ef7a9c7936d8d1c1ce22025-08-20T03:21:19Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202025-05-01305S10.15829/1560-4071-2025-60914268Ischemic stroke in young women with a patent foramen ovale: cases reportsE. E. Matvienko0M. D. Matvienko1Voronezh Regional Clinical Hospital № 2Burdenko Voronezh State Medical UniversityIntroduction. 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.https://russjcardiol.elpub.ru/jour/article/view/6091patent foramen ovaleischemic strokecase report
spellingShingle E. E. Matvienko
M. D. Matvienko
Ischemic stroke in young women with a patent foramen ovale: cases reports
Российский кардиологический журнал
patent foramen ovale
ischemic stroke
case report
title Ischemic stroke in young women with a patent foramen ovale: cases reports
title_full Ischemic stroke in young women with a patent foramen ovale: cases reports
title_fullStr Ischemic stroke in young women with a patent foramen ovale: cases reports
title_full_unstemmed Ischemic stroke in young women with a patent foramen ovale: cases reports
title_short Ischemic stroke in young women with a patent foramen ovale: cases reports
title_sort ischemic stroke in young women with a patent foramen ovale cases reports
topic patent foramen ovale
ischemic stroke
case report
url https://russjcardiol.elpub.ru/jour/article/view/6091
work_keys_str_mv AT eematvienko ischemicstrokeinyoungwomenwithapatentforamenovalecasesreports
AT mdmatvienko ischemicstrokeinyoungwomenwithapatentforamenovalecasesreports