DIAGNOSIS, COMPLICATIONS AND MANAGEMENT OF A FEMALE PATIENT WITH SYNCOPE – CASE PRESENTATION.

Autor: Ciltea, Roxana Teodora, Nicula, Alina Ioana, Ciltea, Oana Madalina, Iana, G., Cergan, R., Ferechide, D.
Předmět:
Zdroj: Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie; 2022, Vol. 21 Issue 3, p164-168, 5p
Abstrakt: Foramen ovale is a flaplike opening between the upper chambers of the heart during fetal development, that usually closes in early-childhood. This opening allows blood to flow from the right to left atria without passing through pulmonary circulation. Patent foramen ovale (PFO ) is a congenital cardiac lesion in which the communication between the two atria persists into adulthood, permitting a right-to-left shunt, which is a common cause of cryptogenic stroke in young and middle-aged patients. Patients with stroke under the age of 55 years are more likely to have a PFO compared with older patients who have a high prevalence of atherosclerosis or other cardiac diseases, including atrial fibrillation, which could explain their vascular events. We present the case of a 45 year-old woman admitted with sustained monomorphic VT, suspected of arrhythmogenic right ventricular cardiomyopathy (ARVC), who suffered a stroke during her hospitalization. Presence of thrombi in the right ventricle as shown by CMR, along with no other identified cause of stroke, raised the suspicion of a PFO, which was confirmed by transesophageal echocardiography. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index