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With the availability of contrast echocardiography,patent foramen ovale is frequently detected in patients with stroke,especially in those with no clear etiology and/or the young patient with stroke.Before this report,an association of stroke with ventricular septal defect had not been reported.In this communication,we describe a 38-year-old patient who developed an occipital lobe infarction and who,on investigation,was found to have a ventricular septal defect.Other investigations,which included four-vessel cerebral angiography,collagen disease workup,and coagulation profile,were all normal.We believe this case further extends the spectrum of cerebral ischemic events that may occur with intracardiac shunts. |
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