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patent foramen ovale

Rare Stroke Risk Related to Air Travel

A rare type of stroke can occur as a result of long airplane flights, according to a study in the June 24 issue of Neurology, the scientific journal of the American Academy of Neurology. The type of stroke can occur in people who have a patent foramen ovale, or an opening between two chambers in the heart. The opening is present in about 30 percent of the general population. Air travel increases the risk of developing blood clots in the veins of the legs, which can then enter the bloodstream and block an artery in the lungs, a condition called pulmonary embolism. In some cases, the opening can allow the blood clot to enter the arteries of the brain, causing a stroke.

Procedure fixes heart defect that lets blood clots flow to brain

When 29-year-old Eric Lange suddenly experienced several hours of mental confusion last July, physicians at Cedars-Sinai Medical Center naturally ordered brain scans and carotid artery studies in their first search for a cause. With the initial exams turning out OK, Eric’s neurologist pursued other clues and ended up finding a heart defect called a patent foramen ovale, or PFO. A blood clot was believed to have slipped through the defect and out of the normal route of circulation that would have filtered it in the lungs. Instead, the clot traveled to Eric’s brain and temporarily blocked the flow of blood, causing a transient ischemic attack, or TIA, which is similar to a stroke but it does not cause permanent brain damage.