Diagnostic dilemmas in a patient with multivascular embolic stroke

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

doi:10.1007/s12471-015-0720-7

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 journal › Article › Academic › peer-review

Abstract

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 language	English
Pages (from-to)	363-365
Journal	Netherlands Heart Journal
Volume	23
Issue number	7-8
DOIs	https://doi.org/10.1007/s12471-015-0720-7
Publication status	Published - Jul 2015

Keywords

Paradoxical embolism
Patent foramen ovale
Pancreatic cancer
Cerebral ischaemic stroke

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10.1007/s12471-015-0720-7Licence: CC BY

Cite this

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title = "Diagnostic dilemmas in a patient with multivascular embolic stroke",

abstract = "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.",

keywords = "Paradoxical embolism, Patent foramen ovale, Pancreatic cancer, Cerebral ischaemic stroke",

author = "Delsing, {C. P. A.} and {van Duijnhoven}, M. and C. Arnoldussen and {le Noble}, J.",

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