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Cardiovascular Disorders: A Photo Essay

Cardiovascular Disorders: A Photo Essay

A 42-year-old man presented after multiple episodes of difficulty in speaking. MRI of the brain without contrast suggested an acute infarct in the left frontal supraventricular white matter. Subsequent MRI with contrast indicated a subacute infarct. MRI spectroscopy verified an ischemic infarct. The patient underwent transesophageal echocardiography, seen here, that showed a patent foramen ovale (PFO). The diagnosis was cryptogenic ischemic stroke. Approximately 40% of cryptogenic ischemic strokes are attributed to PFO.

Image courtesy of Seema Tayal, MD, MBA; Apar Bains, MD MPH; Phillip Telefus;
Irina Erlikh, MD; and Vasantha K. Kondamudi, MD
.

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