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Delayed bubble, coil and trouble: young stroke as a presentation of paradoxical embolism from previously unrecognised pulmonary arterio-venous malformation (PAVM)

Echo Research & Practice volume 7, pages K17–K20 (2020)Cite this article

Summary

Young stroke patients should be investigated thoroughly to look for cardiac and extra-cardiac sources of emboli. We present a patient who was investigated for a cardiac source of emboli following an ischemic stroke. She was found to have a small patent foramen ovale (PFO), but due to the late appearances of bubbles on the bubble study it was thought that this was an incidental finding. Further investigation confirmed a PAVM was the source of emboli causing her stroke.

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Authors and Affiliations

  1. Royal Infirmary of Edinburgh, Edinburgh, UK

    Trisha Singh

  2. University Hospital Southampton, Southampton, UK

    Jonathan Hinton

  3. Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK

    Rosie Swallow, James Kersey & Charles Hillier

Authors
  1. Trisha Singh
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  2. Jonathan Hinton
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  3. Rosie Swallow
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  4. James Kersey
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  5. Charles Hillier
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Corresponding author

Correspondence to Trisha Singh.

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Singh, T., Hinton, J., Swallow, R. et al. Delayed bubble, coil and trouble: young stroke as a presentation of paradoxical embolism from previously unrecognised pulmonary arterio-venous malformation (PAVM). Echo Res Pract 7, K17–K20 (2020). https://doi.org/10.1530/ERP-20-0001

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  • DOI: https://doi.org/10.1530/ERP-20-0001

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Echo Research & Practice

ISSN: 2055-0464

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