Doctor insights on:
Does A Pfo Ever Fix Itself On Its Own
Very different: Pfo is a patent forman ovale, a persistent opening between the two upper chambers of the heart that usually closes shortly after birth. Pda is a persistent connection. Between the aorta and pulmonary artery which also closes shortly after birth. These changes facilitate the transition from intrauterine life to extra uterine life. ...Read more
Asd yes pfo maybe: Significantly large (meaning that the right heart is enlarged) ASD needs to be closed. Pfo is noted in up to 20 % of the population. It has no relevance. There may be (data is weak) an association of pfo with stroke. Currently the american society of neurology recommends closure only after first recurrence of a stroke. Very controversial topic. ...Read more
Zero to bad!: 25% of us have a pfo and obviously most of us do fine. However I operated on a young lady yesterday (for a related condition) who was in severe congestive heart failure, mostly resolved by closing her pfo. Closure (if deemed necessary by a cardiologist) can often be achieved with catheter-based technology (amplatzer plug) rather than open-heart surgery. ...Read more
Patent foramen ovale: This is a congenital opening between the right and left atria of the heart. It normally closes at birth, but stay open in some patients and may need to be closed with a device by a cardiologist or closed surgically by a cardiac surgeon. ...Read more
Unclear: A PFO can be detected in patients with migraines more often than in the general population; however, there is not conclusive evidence to show that the presence of the PFO causes migraines or that closure of the PFO will relieve migraines. ...Read more
Closing a hole: A PFO is a hole in the heart that is nessecery during the fetal circulation, that closes sortly after we are born. In some people it remains open and can cause serious problems. The opening is closed most commonly by a cardiologist with out the need of surgery. In some situations an operation (open heart surgery) is needed to close the hole. It is a very safe proceedure in experienced hands. ...Read more
Echo: Only way to know is by echocardiogram. Sometimes, especially in adults, an injection of agitated saline during the echo may be necessary. Also, if image quality is limited, which is usually the case in adults, a transesophageal echo (echo done through introducing the probe into the esophagus) is necessary to look for a patent foramen ovale (pfo). ...Read more
Location: The pfo is a hole between the upper heart chambers that likely has a flap cover it in most cases but it can be plied open. The PDA is a bypass circuit that allows the fetal blood to bypass the lungs until air breathing starts. It is physically located above & to the left of the heart & joins two main heart vessels. ...Read more
Not common. See below: Major periprocedural complications (i.e. Death, hemorrhage requiring blood transfusion, cardiac tamponade, need for surgical intervention, and fatal pulmonary emboli) occurred in 1.5% of patients, and minor complications (bleeding not requiring transfusion, transient atrial arrhythmias, device embolization with successful catheter retrieval, device arm fracture, air embolism with st elev. Avfistul. ...Read more
Nothing: A pfo is a small opening in the wall between the upper chambers (atria) of the heart. It is present in everyone at birth and closes in about 80% of people by one year of life. So it is present in about 20% of "normal" people. In general, no intervention is required and it causes no symptoms. ...Read more
Possibly: The data is not really conclusive but I would recommend closure. ...Read more
Should I be cautious with a pfo? Is it dangerous n can I I ask the dct to close it or it has to be reccomended? Pros n cons of the pfo?
Can a PFO that previously had no effect on me suddenly start to cause issues (migraines)? Is there a chance it could have gotten bigger?
Is a PFO just a diagnosis of exclusion for stroke/tia seeing as 25% of population have it anyway or is it a real risk and needs to be closed?
Yes and no: Yes its an exclusionary diagnosis. No real good evidence that closure is beneficial. A recent study published in new england journal of med. Noted no real benefits. ...Read more
Greeting's. I was wondering after living with beh'cet's syndrome for over 15 years and now having hypoxia? Related to pfo, would repair b worth it?
Possibly: This isn't easy to answer since there are other considerations. Is the pfo related to pulmonary hypertension? Do you have other reasons to be hypoxic? There certainly can be good reasons to fix a pfo, but you should discuss this with your doctors and even get a second opinion so you can feel confident you're making a good decision. ...Read more
Yes: There shouldn't be any problems. If they accessed the veins in the groin area (femoral), just be careful not to bend your legs excessively for ~48 hrs post procedure. Always good to check with your cath doc though. ...Read more
All newborns have it: A patent foramen ovale (pfo) is present in all babies prior to birth and just after birth. This hole between the two upper chambers (right and left atrium) closes gradually over time, but in 1-in-7 people it never completely closes. If it is small, it is considered a normal finding. Rarely a PFO is larger than usual and needs to be closed with surgery or, more often, with a catheter procedure. ...Read more
No: A patent foramen ovale (pfo) is present in all babies prior to birth and just after birth. This hole between the two upper chambers (right and left atrium) closes gradually over time, but in 1-in-7 people it never completely closes. If it is small, it is considered a normal finding. Rarely a PFO is larger than usual and needs to be closed with surgery or, more often, with a catheter procedure. ...Read more
Could be long:
The closure of the pfo has nothing to do with your ongoing stroke symptoms. The damage from the stroke could take months or even be permanent. The pfo was closed to try and keep stroke from happening again, not to make your symptoms go away.
Also you should realize that pfo closure after stroke is a bit controversial. Recent studies suggest that it may not do any good. ...Read more
Is it possible for a child to have a patent foramen ovale (pfo) and a patent ductis arteriosus (pda)?
Yes: It is a normal feature of the heart prior to birth and may persist in some. The PDA is usually picked up on exam, the pfo would only be accessible to advanced studies. ...Read more
Can you give me more info on experience with a child who has a patent foramen ovale (pfo) and a patent ductis arteriosus (pda)?
Common: All normal fetuses have a pfo and a pda. These are connections between the "left heart" and the "right heart" that allow blood to bypass the lungs and flow properly to the placenta. Typically, in the first 24 hours after birth, the PDA closes. Pfo closure can be more gradual and can be present for many months, and still be a normal finding. Persistent patency can be a problem. ...Read more
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.
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. ...Read more
My son is 11 months he has seen a cardo said he has an asd/pfo he turning more blue than usual so blue he looks black now going to face should I b worry?
I have had a history of migraines averaging over 100 each of last two years. I have a small PFO is repair of PFO recommended for resolution of migraines?
Maybe: Interestingly, a patent for amen ovale (pfo) in the heart can be associated with chronic severe migraines. There is some evidence that repairing the pfo may at least make your migraines better. Good luck. As a fellow migraineur, I hate migraines! ...Read more
Pfo: Pfos can be found in 20 to 30 %the normal population. It would be hard to correlate to symptoms of breathlessness. ...Read more
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