Undiagnosed patent foramen ovale: a rare cause for acute pulmonary embolism and cryptogenic stroke

dc.contributor.author	Fernando, M.S.P.K.
dc.contributor.author	Kumanan, T.
dc.contributor.author	Gerald, S.R.
dc.date.accessioned	2025-03-17T03:35:24Z
dc.date.available	2025-03-17T03:35:24Z
dc.date.issued	2025
dc.identifier.citation	Asian J Intern Med. 2025 Jan-Feb; 4(1)	en_US
dc.identifier.uri	http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/11161
dc.description.abstract	Patent foramen ovale (PFO) is a congenital cardiac anomaly found in 25-30% of the population. Though often asymptomatic, it may lead to paradoxical embolism and cryptogenic stroke. We present a case of a young man with simultaneous acute pulmonary embolism (PE), ischaemic stroke, and lower limb deep vein thrombosis (DVT), culminating in cardiopulmonary arrest. Transoesophageal echocardiography revealed an undiagnosed PFO, supporting the theory of a paradoxical shunt causing stroke. This case highlights the critical role of optimising anticoagulation in managing unprovoked DVT. PFO is a silent culprit and may result in adverse outcomes in patients with pulmonary embolism.	en_US
dc.language.iso	en	en_US
dc.publisher	Sri Lanka College of Internal Medicine	en_US
dc.subject	Acute pulmonary embolism	en_US
dc.subject	Cryptogenic stroke	en_US
dc.subject	Paradoxical embolism	en_US
dc.subject	Patent foramen ovale	en_US
dc.title	Undiagnosed patent foramen ovale: a rare cause for acute pulmonary embolism and cryptogenic stroke	en_US
dc.type	Article	en_US