@Article{Onorato2021,
journal="Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej",
issn="1734-9338",
volume="17",
number="3",
year="2021",
title="Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?",
abstract="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.",
author="Onorato, Eustaquio M.
and Ambrosini, Vittorio
and Casilli, Francesco
and L. Bartorelli, Antonio",
pages="319--321",
doi="10.5114/aic.2021.109155",
url="http://dx.doi.org/10.5114/aic.2021.109155"
}