Diagnostic dilemmas in a patient with multivascular embolic stroke

C. P. A. Delsing*, M. van Duijnhoven, C. Arnoldussen, J. le Noble

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


We describe a patient admitted to the intensive care unit with aphasia, which was due to an embolic ischaemic cerebral stroke associated with a previously unknown patent foramen ovale. Eventually, this finding during echocardiography led us to the diagnosis of pancreatic cancer. The thrombotic complications of pancreatic cancer, in combination with a large, patent foramen ovale, support the mechanism of a paradoxical embolism through the patent foramen ovale as the cause of cerebral ischaemic stroke.
Original languageEnglish
Pages (from-to)363-365
JournalNetherlands Heart Journal
Issue number7-8
Publication statusPublished - Jul 2015


  • Paradoxical embolism
  • Patent foramen ovale
  • Pancreatic cancer
  • Cerebral ischaemic stroke

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