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I see young patients with stroke in Wales. Part of the protocol to investigate the young stroke patients is to ask for TranEsophageal Echo or ECho with agitated Saline to rule out Patent Foramen Ovale or PFO. We anticoagulate the patients for 6 months. However, the practice is different from region to region and few of my colleagues are recommending to close the PFO surgically in case of recurrent TIA.
What is your opinion?