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Updated: Jun 13, 2026

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
Published on: December 23, 2022
[Acute bilateral thalamic infarcts in a young man with patent foramen ovale]
Venice Chávez-Valencia1, Elizabeth Soto-Cabrera
1Medicina Interna, Hospital Central Sur de Alta Especialidad Pemex, México D.F., México. drvenicechv@yahoo.com.mx
Background:
Patent foramen ovale (PFO) has been associated with cryptogenic stroke in young patients.
Clinical Case:
A 27-year-old man presented with acute confusional syndrome, altered language, bradypsychia and somnolence. Brain MRI showed symmetrical bilateral thalamic infarctions probably due to occlusion of Percheron's artery type 2b. Echocardiography showed patent foramen ovale.
Conclusions:
Cerebrovascular disease is a frequent cause of disability and even death in young patients, and thus its medical approach should be emphasized.
Insights
Patent foramen ovale (PFO) is linked to strokes in young adults. This case highlights PFO as a potential cause of cryptogenic stroke, emphasizing the need for thorough evaluation in young patients.
Area of Science:
- Neurology
- Cardiology
Background:
- Patent foramen ovale (PFO) is a potential risk factor for cryptogenic stroke in young individuals.
- Cerebrovascular disease significantly impacts young patients, necessitating focused medical attention.
Observation:
- A 27-year-old male presented with acute confusional syndrome, aphasia, bradypsychia, and somnolence.
- Brain MRI revealed symmetrical bilateral thalamic infarctions, suggestive of Percheron artery occlusion (Type 2b).
- Echocardiography identified a patent foramen ovale.
Findings:
- The patient's symptoms and neuroimaging findings were consistent with a stroke.
- The presence of a PFO in conjunction with stroke symptoms in a young patient suggests a possible embolic source.
Implications:
- This case underscores the importance of screening for PFO in young patients experiencing cryptogenic strokes.
- Early diagnosis and management of PFO can potentially prevent recurrent cerebrovascular events.
- Further research into the PFO-stroke association in younger demographics is warranted.
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