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Association between acute myocardial infarction and death in 386 patients with a thrombus straddling a patent foramen ovale
Right atrial thrombi are rarely found straddling a patent foramen ovale (PFO). A thrombus straddling a PFO (TSPFO), also known as impending paradoxical embolism, is a medical emergency associated with up to 11.5% risk of death within 24  h of being diagnosed. We hypothesized that acute myocardial infarction (MI) and ischemic stroke (IS) diagnosed upon the admission of patients with TSPFO are associated with increased risk of death. We also investigated if specific acute therapies are associated with reduced in-hospital mortality.
Source: International Journal of Cardiology - July 7, 2021 Category: Cardiology Authors: Palak Shah, Amado Jimenez-Ruiz, Andrew Gibson, Juan C. Vargas-Gonz ález, Maria Bres-Bullrich, Rodrigo Bagur, Luciano A. Sposato Source Type: research

Importance of Persistent Right-to-Left Shunt After Patent Foramen Ovale Closure in Cryptogenic Stroke Patients
Tex Heart Inst J. 2020 Aug 1;47(4):244-249. doi: 10.14503/THIJ-17-6582.ABSTRACTPercutaneous closure of patent foramen ovale (PFO) is widely performed to prevent recurrent stroke or transient ischemic attack in patients with cryptogenic stroke. However, the influence of different degrees of right-to-left shunting (RLS) has rarely been reported. We retrospectively evaluated the cases of 268 patients with cryptogenic stroke who underwent PFO closure at our hospital from April 2012 through April 2015. In accordance with RLS severity, we divided the patients into 2 groups: persistent RLS during normal breathing and the Valsalva...
Source: Texas Heart Institute Journal - January 20, 2021 Category: Cardiology Authors: Lu He Gesheng Cheng Yajuan Du Yushun Zhang Source Type: research

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