Searching for Patent Foramen Ovale in Patients with Stroke

  1. David P. Suffian, DO; and
  2. R. R. Dhenke, MD
  1. From Doctors Hospital, Houston, TX 77029

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    TO THE EDITOR:

    In their discussion of cryptogenic stroke, Di Tullio and colleagues (1) fail to mention embolization of pulmonary vein thrombi after pulmonary infarction as a cause of embolic occlusion of a systemic artery. We reported a case (2) in which the patient had unrecognized sustained pulmonary emboli and pulmonary infarctions. She experienced a massive pulmonary embolus that dislodged a pulmonary vein thrombus, which then embolized to a systemic artery. The suggestion that pulmonary venous thrombi be considered in the differential diagnosis of embolic occlusion of systemic arteries was also made by Spain and Moses (3) many years ago.

    David P. Suffian, DO

    R.R. Dhenke, MD

    Doctors Hospital, Houston, TX 77029

    The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:

    Include no more than 300 words of text, three authors, and five references

    Type with double-spacing

    Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.

    Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.

    Annals welcomes electronically submitted letters.

    References

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