Migraine headaches following mitral valvuloplasty: Koch's postulates finally satisfied?
Abstract
The relationship between patent foramen ovale and migraine headache is a topic surrounded
by much controversy. We present the case of a 45-year-old woman who underwent successful
percutaneous mitral balloon valvuloplasty for rheumatic mitral valve stenosis, but
had an immediate postprocedural course complicated by refractory migraine headaches.
Interestingly, resolution of her headaches coincided with the spontaneous closure
of the interatrial communication created during valvuloplasty. This suggests interatrial
flow as an important trigger for migraine headaches in this patient.
Type
Journal articleSubject
Atrial SeptumBalloon Valvuloplasty
Echocardiography, Doppler, Color
Female
Foramen Ovale, Patent
Humans
Middle Aged
Migraine Disorders
Mitral Valve Stenosis
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Richard Andrew Krasuski
Professor of Medicine

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