Managing Patent Foramen Ovale (PFO) in Adults With Cryptogenic Stroke and Lymphoma: A Multidisciplinary Perspective

Noman Khalid1, Muhammad Abdullah2, Sacide S Ozgur1

  • 1Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA.

Cureus
|July 14, 2023
PubMed

Insights

Patent foramen ovale (PFO) can cause cryptogenic strokes. Closing a PFO may be an option for stroke patients, but requires careful consideration by a multidisciplinary team.

Area of Science:

  • Neurology
  • Cardiology
  • Oncology

Background:

  • Cryptogenic strokes lack a clear cause, with patent foramen ovale (PFO) being a suspected etiology.
  • PFO closure is a potential intervention for cryptogenic stroke management.
  • A middle-aged male with lymphoma experienced a stroke secondary to an undiagnosed PFO.

Observation:

  • The patient presented with altered mental status, indicative of a stroke.
  • Diagnostic workup revealed an underlying patent foramen ovale as the cause of the stroke.
  • The patient had a concurrent diagnosis of lymphoma.

Findings:

  • The case highlights the complexity of managing cryptogenic strokes in patients with comorbidities.
  • Decision-making regarding PFO closure requires a thorough evaluation of individual risk factors.
  • The stroke was attributed to an underlying PFO in a patient with lymphoma.

Implications:

  • This case underscores the importance of a multidisciplinary team approach in evaluating cryptogenic stroke patients.
  • Factors influencing the decision for PFO closure, especially in complex cases, need careful consideration.
  • Optimal patient management necessitates a comprehensive assessment integrating neurological, cardiac, and oncological perspectives.

Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
15
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
19