Delayed bubble, coil and trouble: young stroke as a presentation of paradoxical embolism from previously unrecognised pulmonary arterio-venous malformation (PAVM)

Young stroke patients should be investigated thoroughly to look for cardiac and extra-cardiac sources of emboli. We present a patient who was investigated for a cardiac source of emboli following an ischemic stroke. She was found to have a small patent foramen ovale (PFO), but due to the late appear...

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Bibliographic Details
Main Authors: Trisha Singh, Jonathan Hinton, Rosie Swallow, James Kersey, Charles Hillier
Format: Article
Language:English
Published: BMC 2020-08-01
Series:Echo Research and Practice
Subjects:
Online Access:https://erp.bioscientifica.com/view/journals/echo/7/3/ERP-20-0001.xml
Description
Summary:Young stroke patients should be investigated thoroughly to look for cardiac and extra-cardiac sources of emboli. We present a patient who was investigated for a cardiac source of emboli following an ischemic stroke. She was found to have a small patent foramen ovale (PFO), but due to the late appearances of bubbles on the bubble study it was thought that this was an incidental finding. Further investigation confirmed a PAVM was the source of emboli causing her stroke.
ISSN:2055-0464
2055-0464