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Correspondence
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Volume 346:1331-1332 April 25, 2002 Number 17
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Patent Foramen Ovale, Atrial Septal Aneurysm, and Recurrent Stroke

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To the Editor: Mas et al. (Dec. 13 issue)1 describe multiple potential thromboembolic mechanisms that may account for the increased risk of recurrent stroke in young patients with both patent foramen ovale and atrial septal aneurysm.

The initial descriptions of paradoxical embolism with stroke provide clear evidence of a thrombotic source (e.g., deep-vein thrombosis), evidence of thrombus movement elsewhere (pulmonary embolus, ischemia in other organs, such as the kidney, or both), and a cardiac abnormality.2,3 Curiously, more recent articles have failed to identify an increased risk of deep-vein thrombosis, pulmonary embolism, or ischemia in other organs in patients with cardiac . . . [Full Text of this Article]

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