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European Journal of Echocardiography 2006 7(2):171-174; doi:10.1016/j.euje.2005.03.010
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Copyright © 2005, The European Society of Cardiology

Paradoxical embolism with a patent foramen ovale and atrial septal aneurysm

D.J. Beacock, V.B. Watt, G.D. Oakley and A. Al Mohammad*

Department of Cardiology, Chesterman Wing, Northern General Hospital, Herries Road, Sheffield, S5 7AU, UK

Received 30 November 2004; accepted after revision 18 March 2005.

* Corresponding author. Tel.: +44 114 271 4807; fax: +44 114 261 0350. aammay{at}hotmail.com


   Abstract

Patent foramen ovale (PFO) and atrial septal aneurysm have been cited as potential risk factors for cryptogenic stroke. We present two cases which we propose to directly illustrate paradoxical embolisation as a mechanism of cerebrovascular accident. The diagnosis of PFO is discussed and the literature reviewed.

Keywords: Patent foramen ovale; Atrial septal aneurysm; Cryptogenic stroke


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