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Less Is More
October 2014

Patent Foramen Ovale and Stroke Prevention—To Close or Not to CloseA Teachable Moment

Author Affiliations
  • 1Department of Medicine, University of Colorado, Aurora
JAMA Intern Med. 2014;174(10):1545-1546. doi:10.1001/jamainternmed.2014.3923

A 65-year-old man with a history of chronic obstructive pulmonary disease, hyperlipidemia, and hypertension was seen in clinic for hospital follow-up. He had previously been admitted to the hospital with slurred speech and aphasia and diagnosed as having a left middle cerebral artery ischemic infarct. Tissue plasminogen activator was administered with a positive neurologic outcome. His only residual deficit was numbness in 3 digits in his right hand impacting his dexterity, which was improving with therapy.

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