eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
3/2021
vol. 17
 
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abstract:
Image in intervention

Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?

Eustaquio M. Onorato
1
,
Vittorio Ambrosini
2
,
Francesco Casilli
3
,
Antonio L. Bartorelli
1, 4

1.
Centro Cardiologico Monzino, IRCCS, University of Milan, Milan, Italy
2.
Reparto di Cardiologia, Ospedale San Giuseppe Moscati, Avellino, Italy
3.
Centro di Cardiologia Interventistica, Istituto Clinico Sant’Ambrogio, Milan, Italy
4.
Department of Biomedical and Clinical Sciences, “Luigi Sacco”, University of Milan, Milan, Italy
Adv Interv Cardiol 2021; 17, 3 (65): 319–321
Online publish date: 2021/09/14
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We present a case of a 38-year-old woman, aura migraineur, with a past medical history of Hashimoto’s thyroiditis and elevated homocysteine level of 75 µmol/l due to homozygous C677T MTHFR gene mutation on folic acid supplementation. In December 2009 a right-sided hemiparesis on awakening occurred and brain magnetic resonance imaging confirmed left thalamic infarct. Continuous ECG monitoring ruled out atrial fibrillation. A Doppler study of lower limbs revealed no overt thrombosis. Extracranial duplex ultrasound examination was normal and carotid dissection was excluded. Two-dimensional (2D) transthoracic/transesophageal echocardiography (TTE/TEE) color Doppler showed a right-to-left shunt (RLS) via a long tunnel-type patent foramen ovale (PFO), with an overlap between the primum and secundum septum of 13 mm along with a prominent Eustachian valve.
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