In light recent trials do you recommend pfo closure ? i am due to have it done in 1 months time but am confused by current evidence. opinions please .

How discovered?: If you've ever had a stroke and pfo is thought to be possibly a big factor in the causation, pfo closure makes a lot of sense. There may also be other good reasons for you to have closure. It never hurts to get another opinion if you're confused.

Definitely: If it can be repaired with an endovascular approach. It is desirable to close a left to right shunt at the atrial level. Have to make sure is a true patent foramen ovale and not a secundum, sinus venosus or ostium primum atrial septal defect that may require surgical closure.