A college entrance examination candidate had a patent foramen ovale, which led to cerebral thrombosis. Doctors remind everyone: Such people should not sit for long periods of time

I had just taken over the night shift when I received a call from the Department of Neurology: green channel, mechanical thrombectomy.

There was no need to say anything more after hearing this. After hanging up the phone, Dr. Liu rushed into the operating room.

In the blink of an eye, all preparations for general anesthesia were completed. Over there, the door of the operating room creaked open.

I thought everyone would push the patient in in a panic, but after seeing the patient on the transfer cart, Dr. Liu's anxious heart calmed down a little.

On the transfer vehicle, a girl of about sixteen or seventeen was looking at the operating room curiously.

Seeing this, Dr. Liu thought: This doesn't look like an emergency. Especially, this doesn't look like a cerebral thrombosis. What kind of clot is this?

After the patient was lifted onto the operating table, everyone immediately began to check the patient's information. From the check, it was found that it was indeed a cerebral thrombosis. As for the cause of the cerebral thrombosis, it is still unknown.

After hurriedly finding the parents outside the door and getting their signatures, Dr. Liu started the general anesthesia.

Since there were no other abnormalities with the patient, the general anesthesia process went smoothly.

After the general anesthesia was completed, everyone put on lead suits.

As the contrast agent was pushed in, they found that there was indeed a blood vessel in the brain that was blocked. However, this blood vessel was blocked in an unimportant position and there was compensatory blood flow, so the symptoms were not that severe. This also explained why the little girl only complained of dizziness, headache and severe vomiting.

After a while, a blood clot as big as an earthworm was taken out.

In order to prevent reperfusion injury, Dr. Liu has adjusted the blood pressure during the same period.

Seeing the patient's blood clot being removed, everyone immediately felt much more relaxed.

Doctor Liu asked curiously: How could such a young child get cerebral thrombosis?

The neurologist said: Is it all because of the patent foramen ovale?

Hearing this word, Dr. Liu understood instantly. But then, he suddenly remembered something and asked: Have you checked your lower limbs?

The neurologist said: I checked and found a blood clot.

At this point, the truth came to light.

The foramen ovale is a physiological channel in the atrial septum of the heart during the embryonic period. Under normal circumstances, it will fuse around 2 months after birth. If it fails to fuse after 1 year old, a patent foramen ovale will form.

The reason why I think of the foramen ovale and the lower limbs is that people who often deal with thrombosis or seriously ill patients know a complication - DVT. The so-called DVT refers to a venous reflux disorder caused by abnormal coagulation of blood in the deep veins, which often occurs in the lower limbs. The formed thrombus travels with the blood due to the movement of the patient or other reasons.

Under normal circumstances, a blood clot traveling with the blood will enter the right ventricle after reaching the right atrium, and then enter the pulmonary artery to cause pulmonary embolism. However, when the foramen ovale is not closed, the blood clot will go directly into the left atrium along this hole that should have been closed, and then into the left ventricle and flow to the brain or other parts of the body.

Unfortunately, the blood clot blocked the little girl's brain blood vessels. Fortunately, her parents were very attentive and the hospital's green channel rescue was timely. Finally, the little girl was discharged from the hospital a few days later.

Looking back on this incident, the little girl sitting there for a long time doing homework was a trigger. If she did not move for a long time, blood in her lower limbs would stagnate and cause blood clots. In addition, I would like to remind everyone one more thing: just like taking a plane or a long-distance train, you should move your lower limbs more to avoid the formation of deep vein thrombosis in the lower limbs. Although blood clots will not enter the brain in people with closed foramen ovale, they will enter the pulmonary artery. Blockage in the pulmonary artery is also very dangerous.

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