Investigators from National Health Insurance Service Ilsan Hospital Have Reported New Data on Patent Foramen Ovale (Simultaneously Occurring Ischemic Stroke, Leg Artery Occlusion, and Pulmonary Embolism Induced By a Uterine Myoma): Heart Disorders and Diseases – Patent Foramen Ovale

2022 MAY 17 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Hematology Daily -- Researchers detail new data in Heart Disorders and Diseases - Patent Foramen Ovale. According to news originating from Goyang, South Korea, by NewsRx correspondents, research stated, “Paradoxical embolism from venous thrombosis through the patent foramen ovale is a rare but well-known cause of stroke in young adults. Here, we report a case of simultaneous middle cerebral artery infarction, multiple occlusions of the leg arteries, and pulmonary thromboembolism from the venous thrombus, all due to compression of the external iliac vein by a uterine leiomyoma.”

Our news journalists obtained a quote from the research from National Health Insurance Service Ilsan Hospital, “Materials and Methods (Case presentation): A 44-year-old woman presented with left hemiparesis and central-type left facial palsy. She denied a history of hypertension, diabetes mellitus, previous cerebral infarction, myocardial infarction, smoking, or oral contraceptive use. The patient recovered completely after injection of tissue plasminogen activator. Brain diffusion-weighted imaging showed an acute right middle cerebral artery infarction. Transcranial Doppler with saline agitation test revealed a right-to-left shunt, suggesting a patent foramen ovale. Chest computed tomography revealed multiple pulmonary thromboembolisms. Lower extremity sonography and lower extremity computed tomography revealed a multifocal thrombus in the major veins and arteries of the left leg. Moreover, a large uterine myoma compressing the left external iliac vein was noted on lower extremity computed tomography. After the treatment of pulmonary thromboembolism and venous thrombosis with rivaroxaban, surgical thrombectomy of the left popliteal artery, patent foramen ovale closure, and total hysterectomy were performed. Subsequently, she had no recurrent paradoxical embolism or pulmonary thromboembolism. Structural abnormalities in the pelvic cavity are not commonly suspected as stroke etiology.”

According to the news editors, the research concluded: “However, examination of the pelvic cavity is advisable in young female stroke patients with pulmonary thromboembolism or other paradoxical embolisms.”

This research has been peer-reviewed.

For more information on this research see: Simultaneously Occurring Ischemic Stroke, Leg Artery Occlusion, and Pulmonary Embolism Induced By a Uterine Myoma. Journal of Stroke and Cerebrovascular Diseases, 2022;31(4):106328. Journal of Stroke and Cerebrovascular Diseases can be contacted at: Elsevier, Radarweg 29, 1043 Nx Amsterdam, Netherlands. (Elsevier - www.elsevier.com; Journal of Stroke and Cerebrovascular Diseases - http://www.journals.elsevier.com/journal-of-stroke-and-cerebrovascular-diseases/)

The news correspondents report that additional information may be obtained from Kijeong Lee, National Health Insurance Service Ilsan Hospital, Dept. of Neurology, Goyang, South Korea. Additional authors for this research include Jean Hee Kim and Jaseong Koo.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106328. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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