Challenging Diagnosis of Patent Foramen Ovale in Presence of a Large Eustachian Valve.

Challenging Diagnosis of Patent Foramen Ovale in Presence of a Large Eustachian Valve.
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DOI:
10.37616/2212-5043.1249
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发表时间:
2021
影响因子:
0.8
通讯作者:
Potvin J
Potvin J
中科院分区:
其他
文献类型:
--
作者:
Boukhris M;Masson JB;Potvin J

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我们报告一位39岁女性的病例,她表现为隐源性中风。常规超声心动图和声学造影检查发现有较大的咽鼓管瓣膜(EV),但未能发现任何从右向左的分流。相反,对比-经颅多普勒显示3级右向左分流。超声心动图检查分别经上肢静脉和股静脉注射超声心动图,间隔10min。虽然上肢注射后未发现分流,但经股静脉注射造影剂时,有20个气泡穿过房间隔,证实诊断为卵圆孔未闭。
We report the case of a 39-year-old woman who presented with cryptogenic stroke. Conventional and contrast echocardiography modalities noticed a large Eustachian valve (EV) but failed to identify any right-to-left shunt. Conversely, contrast-transcranial Doppler revealed a grade 3 right-to-left shunt. Contrast echocardiography was repeated with bubble injections through both an upper extremity and a femoral vein, 10 min apart from each other. While no shunt was observed following upper extremity injection, >20 bubbles crossed the inter-atrial septum when contrast was injected via femoral vein confirming the diagnosis of patent foramen ovale.
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