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Case Report
  as a primary prevention of embolic stroke in the set- ting of a known IVC thrombus in a patient with RCC before radical nephrectomy. This case illustrates the complexity and the significance of proper planning and multidisciplinary discussion to provide the best treatment and care plan particularly in patients with a PFO and symptomatic severe AS.
This is an important viable approach particularly in tertiary and quaternary referral centers that take care of similar cases for optimizing patients with malig- nancy for major potentially curative surgeries given that about 25% of the US population has a PFO [12].
Acknowledgement
The authors would like to acknowledge Dr. Jen Chang from the Department of Anesthesiology at the University of Utah for providing her care during the PFO closure procedure along with TEE guidance.
Conflict of Interest
The authors have no conflict of interest relevant to this publication.
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 Cite this article as: Al Danaf J, Saidi A, Smith B, Tandar A. Patent Foramen Ovale Closure using Cardioform Oc- cluder Device Through the Right Inter- nal Jugular Vein for Primary Prevention (First in Man): Importance of a Multi- disciplinary Team. Structural Heart Dis- ease. 2019;5(2):43-47. DOI: https://doi. org/10.12945/j.jshd.2019.019.18
    Al Danaf J. et al.
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