BMJ Case Reports 2012; doi:10.1136/bcr-03-2012-6081
  • Unusual association of diseases/symptoms

Cryptogenic stroke in low-risk patients, consider a cardiac shunt at your peril

  1. Rumi Jaumdally2
  1. 1Department of Acute Medicine, Walsall Health Care NHS Trust, Walsall, UK
  2. 2Department of Cardiology, Walsall Health Care NHS Trust, Walsall, UK
  1. Correspondence to Dr Saad Aldeen Saeed, saadsaeed{at}

Patent foramen ovale (PFO) as a cause of cryptogenic stroke from paradoxical embolisation remains a controversial issue. The optimal care between medical and surgical management of these patients for the attending clinician remains a conundrum. We report a case of cryptogenic stroke in a woman aged 59, with a PFO, concomitant venous thrombosis and cryptogenic stroke. The case highlights the difficulty in diagnosing and managing such patients, particularly as recent evidence challenges the clinical practice of percutaneous closure and pathophysiological rationale.


  • Competing interests None.

  • Patient consent Obtained.

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