Embolic stroke in a patient with a patent foramen ovale and an indwelling catheter

摘要

Ahn and colleagues describe the presentation of a patient with a recent diagnosis of lung cancer who presents with sudden-onset neurologic findings while receiving platinum-based systemic chemotherapy.1 Imaging work-up ruled out central nervous system metastases but identified the presence of a subacute cerebral infarct, likely embolic in origin. In an intensive effort to identify a potential embolic source, the patient's physicians found both a patent foramen ovale and a Medi-Port-associated thrombus. The patient was subsequently anticoagulated, with improvement in neurologic function.