Diagnostic dilemmas in a patient with multivascular embolic stroke.

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. PMID: 26031637 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/26031637?dopt=Abstract

Source: Netherlands Heart Journal - June 2, 2015 Category: Cardiology Authors: Delsing CP, van Duijnhoven M, Arnoldussen C, le Noble J Tags: Neth Heart J Source Type: research