A 38-year-old member asked:

When is surgery needed for a child with a?patent foramen ovale?and a patent ductis arteriosus?

2 doctor answers4 doctors weighed in
Dr. Shalabh Bansal
Pediatrics 15 years experience
PFO vs PDA: A hemodynamically significant PDA (with excess lung flow in a newborn) is usually closed by surgical ligation (entering from left back with slight incision and tying off pda). Nothing is usually done about a pfo as they are insignificant. If latter is large (or an asd) it may be closed by surgery or device closure (interventional cardiology).
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Troy Reyna
Pediatric Surgery 46 years experience
With symptoms: In the majority of cases these openings close spontaneously shortly after birth. When they remain open and interfere with adequate oxygenation and/or ventilation, exercise tolerance, etc., then surgery may be indicated. Surgery can be done minimally invasive or open.
Created for people with ongoing healthcare needs but benefits everyone.

Similar questions

A 24-year-old member asked:

Is there a downside to keep a patent foramen ovale in a child?

2 doctor answers3 doctors weighed in
Dr. Nassir Azimi
Interventional Cardiology 25 years experience
Yes: Statistically there are up 1/4 people with a patent foramen ovale. Most are inconsequential. However, in a select few, these have been associated with migraine's, difficulty breathing, a rare syndrome called platypnea orthodeoxia syndrome and occult strokes.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 3, 2016

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