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Previous Volume 353:2361-2372 December 1, 2005 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 38-year-old man notes abrupt loss of vision in his right visual field while reading. He has no significant medical history and reports that he neither smokes nor uses alcohol or illicit drugs. Physical examination reveals right homonymous hemianopia but no other abnormalities. Magnetic resonance imaging reveals acute left occipital infarction and normal head and neck vessels. Transesophageal echocardiography shows a patent . . . [Full Text of this Article]

The Clinical Problem

Patent Foramen Ovale and the Risk of Stroke

Atrial Septal Aneurysm

Strategies and Evidence

Evaluation

Treatment

            Medical Therapy

            Mechanical Closure

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Departments of Medicine (J.R.K., R.B.D.) and Public Health (J.R.K.), Weill Medical College of Cornell University, New York.

Address reprint requests to Dr. Kizer at Box 222, New York–Presbyterian Hospital, 525 E. 68th St., New York, NY 10021, or at jok2007@med.cornell.edu.

Related Letters:

Patent Foramen Ovale and Unexplained Stroke
Albin M. S., Wills J., Schwend R. M., Mazzucco S., Anzola G. P., Kizer J. R., Devereux R. B.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:1753-1755, Apr 20, 2006. Correspondence

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