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Stroke-Like Symptoms During Sexual Intercourse in a 25-Year-Old Female with a Patent Foramen Ovale



Case Reports

. 2022 Jul 27;14(7):e27332.


doi: 10.7759/cureus.27332.


eCollection 2022 Jul.

Affiliations

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Case Reports

Adair M McCabe et al.


Cureus.


.

Abstract

A 25-year-old female who presented with stroke-like symptoms during sexual intercourse was found to have a patent foramen ovale (PFO). She was diagnosed with a cryptogenic transient ischemic attack (TIA) and underwent a successful catheter-based PFO closure. She had complete resolution of symptoms during both intercourse and physical activity.


Keywords:

amplatzer septal occluder; atrial septal defect; bubble study; congenital heart defect; cryptogenic transient ischemic attack; patent foramen ovale; sexual intercourse; stroke-like symptoms.

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures



Figure 1. Transthoracic echocardiogram with bubble study pre-procedure.

Transthoracic echocardiogram with bubble study during the relaxation phase of the Valsalva maneuver. The microbubbles seen in the left ventricle signify a right-to-left shunt and thus a positive test. Beats per minute (BPM), Left atrium (LA), Left ventricle (LV), Right atrium (RA), Right ventricle (RV).


Figure 2


Figure 2. Transthoracic echocardiogram with bubble study post-procedure.

Transthoracic echocardiogram and bubble study conducted after the closure procedure showing a negative bubble study and the occluder device in the correct location. Beats per minute (BPM), Left atrium (LA), Left ventricle (LV), Patent foramen ovale (PFO), Right atrium (RA), Right ventricle (RV), Valsalva (VAL).

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