Patent Foramen Ovale Device Closure in a 27 Years Old Young Lady with Cryptogenic Ischaemic Stroke - First Case Report from Bangladesh

Authors

  • AQM Reza Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • Aparajita Karim Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • Mahmood Hasan Khan Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • Kazi Atiqur Rahman Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • Md Aliuzzaman Joarder Department of Neuro-surgery, Evercare Hospital Dhaka
  • Shahab Uddin Talukder Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • Shams Munwar Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • M Atahar Ali Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • Tamzeed Ahmed Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka
  • AHM Waliul Islam Department of Clinical & Interventional Cardiology, Evercare Hospital Dhaka

DOI:

https://doi.org/10.3329/cardio.v13i2.52978

Keywords:

Cryptogenic stroke, paradoxical embolism, patent foramen ovale, trans-catheter closure.

Abstract

A patent foramen ovale (PFO) is highly prevalent in patients with strokes of unknown cause or cryptogenic strokes (CSs). It has been remained an unsolved question as to whether a PFO should be closed or not to prevent recurrent strokes in patients diagnosed with cryptogenic stroke (CS). A paradoxical embolism through a PFO is pointed as a leading cause of CS, especially in younger patients with low risk factors for stroke. It also remains an unsolved matter on type of anti-coagulation therapy, which would be better for patients with CS and a PFO. In addition, surgical and transcutaneous closure of a PFO has been proposed for the secondary prevention of stroke in patients with CS with PFO. Several randomized controlled trials have been conducted in recent years to test whether a PFO closure gives a significant benefit in the management of CS. Many investigators believed that a PFO was an incidental finding in patients with CS. However, meta-analyses and more recent specific trials have eliminated several confounding factors and possible biases and have also emphasized the use of a shunt closure over medical therapy in patients with CS. Therefore, these latest studies can possibly change the treatment paradigm in the near future. We are reporting a case of cryptogenic ischaemic stroke in middle cerebral artery territory due to paradoxical embolism through a PFO which was successfully closed with a device solely by a Bangladeshi Consultant & his team first time in Bangladesh.

Cardiovasc. j. 2021; 13(2): 227-234

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Published

2021-04-15

How to Cite

Reza, A., Karim, A., Khan, M. H., Rahman, K. A., Joarder, M. A., Talukder, S. U., Munwar, S., Ali, M. A., Ahmed, T., & Islam, A. W. (2021). Patent Foramen Ovale Device Closure in a 27 Years Old Young Lady with Cryptogenic Ischaemic Stroke - First Case Report from Bangladesh. Cardiovascular Journal, 13(2), 227–234. https://doi.org/10.3329/cardio.v13i2.52978

Issue

Section

Case Reports