title: [Interventional closure of an open foramen ovale in a patient with recurrent cerebral ischemia].
abstract: In a 24-year-old female patient suffering from recurrent ischemia, an aneurysm of the atrial septum and a patent foramen ovale with significant right-to-left shunt during the Valsalva maneuver were detected by means of contrast Doppler echocardiography. After other causes had been excluded, paradoxical embolism was suspected to be the cause of the cerebral symptoms. The defect was closed by a 17-mm Rashkind occluder without complications. Six months later no residual shunt was detected and no further neurological event had occurred. This case demonstrates the feasibility of non-operative closure of those defects. This new technique could represent an alternative to long-term anticoagulation or operative procedures in selected patients.
authors.affiliation: Klinikum der Universität, Abteilung für Kardiologie, Frankfurt/M.
authors.forename: C
authors.initials: C
authors.lastname: Teupe
authors.forename: M
authors.initials: M
authors.lastname: Schneider
authors.forename: W
authors.initials: W
authors.lastname: Nacimiento
authors.forename: R
authors.initials: R
authors.lastname: Schräder
mesh_terms: D000328:Adult; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000295:instrumentation; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D002546:Ischemic Attack, Transient / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D009460:Neurologic Examination; D012008:Recurrence
vernacular_title: Interventioneller Verschluss eines offenen Foramen ovale bei einer Patientin mit rezidivierenden zerebralen Ischämien.