FIRST IN ODISHA : PFO DEVICE CLOSURE OF A YOUNG LADY WITH STROKE

A 25 year old lady suffered from brain stroke last month. This is called ‘Stroke in Young’. Dr Akash Agrawal, consultant Neurologist at AMRI Hospital,

10th Jan 2023(Odisha Tazanews) Bhunaneswar :- Bhubaneswar thoroughly investigated for the cause of stroke in such young age.  As conventional risk factors for stroke doesnt apply in young patients.Dr Aakash Agrawal suspected that a cardiac origin or hole in the heart as a cause of stroke is highly likely as is the case in many such young patients and asked Dr Dibya Ranjan Behera, consultant Cardiologist at AMRI Hospital, to perform specialized tests like bubble contrast echo to confirm the same.

Dr Behera took special interest in the case and performed specialized tests tike Transesophageal ECHO with bubble contrast to ultimately clinch this rare diagnosis. It is found that blood is flowing in reverse direction, ie, right to left through it. This can cause trespass of blood clots from right side to left side of heart causing brain stroke, hence also called as ” Cryptogenic Stroke”.

The collaborative team came to the conclusion that closure of the hole (PFO) would benefit the patient and prevent such strokes in future and advised the patient regarding the same.
A cardiac team led by Dr Behera performed closure of that hole by a key hole intervention called “PFO Device Closure” by using Amplatzer PFO occluder at AMRI Hospital, Bhubaneswar.

Patient was doing well after surgery and planned for discharge.
Probably this is the first case of PFO device closure in our state. “Such intervention can bring a ray of hope for young patients with cryptogenic stroke”, Dr Behera said. We are thankful to the cardiac cathlab team for success of this procedure, he added.