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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Emergency Medicine

Advisor

Dr. Bernard Toney

Abstract

ABSTRACT

Acute cerebrovascular disease is the leading cause of preventable adult disability in the United States and worldwide. In patients less than 60 years of age who have had an ischemic stroke, there is an increased likelihood of the presence of a patent foramen ovale. This doctoral thesis will discuss the prevalence of stroke in patients under 60, the economic impact in this patient population, the various modalities available to evaluate for a patent foramen ovale, medical conditions that may suggest the presence of a patent foramen ovale, surgical considerations for patent foramen ovale closure and risks of this procedure, and cost-benefit analysis of patent foramen ovale surgical closure.

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