Fuentes Latorre Eric, Vidal Hagemeijer Bárbara
CR cardiología, Hospital regional de Talca, Chile.
Unidad de ecocardiografía, Hospital Clinic, Barcelona, España.
Rev Med Chil. 2018 Dec;146(10):1210-1214. doi: 10.4067/S0034-98872018001001210.
Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. A thrombectomy was performed. Searching for possible sources of emboli, a patent foramen ovale was detected in an echocardiography, with an hypoechogenic examination image passing through it. Anticoagulant therapy was started and the patient had an uneventful evolution.
卵圆孔未闭（PFO）是成年人中最常见的先天性缺陷之一。在中年成年人中的患病率接近25%-30%，可能导致反常栓塞现象。我们报告一例45岁男性因左颈内动脉末端闭塞导致缺血性中风入院。进行了血栓切除术。在寻找可能的栓子来源时，经超声心动图检查发现卵圆孔未闭，并有低回声检查图像穿过该孔。开始了抗凝治疗，患者病情平稳。
