Cranial thromboembolism secondary to patent foramen ovale and deep venous thrombosis after cesarean section

Gynecol Obstet Invest. 2008;65(4):258-61. doi: 10.1159/000113050. Epub 2008 Jan 14.


Background: Paradoxical embolism via a patent foramen ovale (PFO) is a rare event in the puerperium as a cause of stroke.

Case: We report a 21-year-old, G4P3A1 woman with the symptoms of convulsion, stroke and unconsciousness 1 week after cesarean delivery. An infarction was detected in both frontal lobes, and echocardiography and MRI confirmed the PFO. Her follow-up course with low-molecular-weight heparin and then warfarin for 6 months was uneventful.

Conclusion: Patients with an unexplained arterial event should be screened for PFO and possible paradoxical embolism.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Infarction / etiology*
  • Cesarean Section / adverse effects*
  • Echocardiography
  • Female
  • Foramen Ovale, Patent / complications*
  • Foramen Ovale, Patent / diagnosis
  • Humans
  • Magnetic Resonance Imaging
  • Pregnancy
  • Pregnancy Complications, Cardiovascular*
  • Venous Thrombosis / complications*
  • Venous Thrombosis / etiology