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. 2021 Jan 15;5(1):ytaa576.
doi: 10.1093/ehjcr/ytaa576. eCollection 2021 Jan.

Patent foramen ovale and wake-up stroke

Affiliations

Patent foramen ovale and wake-up stroke

Robert M A van der Boon et al. Eur Heart J Case Rep. .
No abstract available

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Figures

Figure 1
Figure 1
Short-axis view in the mid-oesophageal position showing the right and left atrium (RA/LA), right ventricle (RV), and aortic valve (Ao). During snoring (increase of right atrial pressure), the inter-atrial septum becomes increasingly mobile revealing a patent foramen ovale.
Figure 2
Figure 2
Infusion of agitated saline during snoring confirms right to left shunt.

References

    1. Guchlerner M, Kardos P, Liss-Koch E, Franke J, Wunderlich N, Bertog S. et al. PFO and right-to-left shunting in patients with obstructive sleep apnea. J Clin Sleep Med 2012;08:375–380. - PMC - PubMed
    1. Ciccone A, Proserpio P, Roccatagliata DV, Nichelatti M, Gigli GL, Parati G. et al. Wake-up stroke and TIA due to paradoxical embolism during long obstructive sleep apnoeas: a cross-sectional study. Thorax 2013;68:97–104. - PubMed
    1. Tur S, de la Pena M, Vives B, Martinez AB, Gorospe A, Legarda I. et al. Sleep apnea syndrome and patent foramen ovale: a dangerous association in ischemic stroke? Sleep Med 2016;25:29–33. - PubMed

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