Acute Ischemic Stroke Superimposed on Acute Pulmonary Embolism in the Presence of Patent Foramen Ovale: A Case Report

A patent foramen ovale (PFO) carries a high risk of paradoxical embolism. This risk is higher in certain conditions, including acute pulmonary embolism (APE). Although most patients with a PFO are asymptomatic, various clinical manifestations may be associated with PFO. Concomitant APE and acute isc...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5), p.e61036
Main Authors: Alaboud Alkheder, Khaled, Al-Khafaji, Yousif Basim, Al-Nahhas, Omar Farooq
Format: Article
Language:English
Subjects:
Anticoagulants
Cardiology
Case reports
Consciousness
Emergency medical care
Emergency Medicine
Hospitals
Ischemia
Neurology
Patients
Pulmonary arteries
Pulmonary embolisms
Stroke
Veins & arteries
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Summary:A patent foramen ovale (PFO) carries a high risk of paradoxical embolism. This risk is higher in certain conditions, including acute pulmonary embolism (APE). Although most patients with a PFO are asymptomatic, various clinical manifestations may be associated with PFO. Concomitant APE and acute ischemic stroke (AIS) due to paradoxical embolism from a PFO are rare. We report a case of a 61-year-old man who presented with simultaneous PE and AIS in the presence of PFO, was treated successfully with anticoagulation, and was discharged from the hospital neurologically intact.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.61036