Doctor insights on:
Foramen Ovale Aneurysm
My echo says I have a "possible small interatrial septal aneurysm or patent foramen ovale." what does that mean?
Usually nothing: A small patent foramen ovale is one of the most common and minor cardiac anomalies. Most people do not know they have one as in the vast majority there are no symptoms. This defect has been rarely related to migraines and strokes, but these are so uncommon that the condition is not treated unless there is a problem. The term aneurysm relates to the tissue of the atrial septum and is not risky. ...Read more
Foramen ovale is one of the physiological shunts in the fetal heart between right and left atrium. It closes shortly after newborn period, when systemic blood pressure rises and takes over the pulmonary pressure and aorta begins to supply the majority of the body with the more oxygenated blood from the left ventricle, in contrast to the fetal circulation, where main blood supply ...Read more
Normal hole: A foramen ovale is a normal opening between the upper chambers of the heart. It is present in every normal fetus to allow blood with oxygen to get from the placenta to where it needs to go in the fetus's body. This opening usually closes after birth, but is present in about 20% of all adults. It has been associated with some forms of stroke, migraine headaches, and decompression illness. ...Read more
Small heart opening: It is an opening in the wall between the upper chambers of the heart that allows blood from the placenta to get to where it needs to go during fetal life. All babies are born with this. It usually closes after birth, but 20% of all adults still have this. It is normal, though it has been associated with stroke, migraine headach, and decompression illness in scuba divers. ...Read more
Usually: Both the foramen ovale and the ductus arteriosus normally close shortly after birth. If the ductus arteriosus does not close, doctors can use medications or other techniques to close it. The foramen ovale is not always closed as long as the patient is not experiencing any problems. ...Read more
Foramen ovale: The foramen ovale generally closes around birth, when the blood circulation of the baby converts to that without the placental blood flow and the lungs start to work. The condition wherein the foramen ovale does not close is a patent foramen ovale, and causes mixing of oxygenated and non-oxygenated blood in the arterial system. This can cause fatigue, weakness and cyanosis in severe cases. ...Read more
See below: This normally does not cause any significant problem. And, it will probably close on its own. ...Read more
Normal: It is not abnormal for the foramen ovale to stay open after birth for a period of time. In neonates who are found to have an isolated pfo by color doppler echocardiography in the first few days of life almost 100% will no longer have evidence of a pfo at one year. ...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
Porthole in atria: Everyone has a patent foramen ovale that is closed by a flap of tissue that keeps blood from flowing from one atria to the other. Sometimes it stays open a little longer than average and allows some blood to circulate right to left or vice versa depending upon other clinical conditions. The foramen usually closes w/o any intervention. ...Read more
Foramen ovale: Foramen ovale is one of the physiological shunts in the fetal heart between right and left atrium. It closes shortly after newborn period, when systemic blood pressure rises and takes over the pulmonary pressure and aorta begins to supply the majority of the body with the more oxygenated blood from the left ventricle, in contrast to the fetal circulation, where main blood supply comes from the rv. ...Read more
Usually nothing: 20-25% of all adults have pfo. Most live thier entire lives without problems related to the pfo. Some people have strokes that are thought to be related to pfo, and it has also been associated with migraine headahces and decompression illness in scuba divers. There is no evidence to indicate that pfo should be treated unless a person has problems thought to be directly related to the pfo. ...Read more
A hole in the heart: A patent foramen ovale (pfo) is a necessary hole between two upper chambers of the heart. This hole allows fetal blood circulation to occurr. Once the baby is born, circulation changes, the hole closes to allow normal post natal human circulatuin pathway. It remains open in a small number of patients and is usually asymptomatic. ...Read more
Depends. . .: Check out http://www. Mayoclinic. Com/health/patent-foramen-ovale/ds00728/dsection=treatments-and-drugs for some basic ideas. Then chat w/your cardiologist to find out what's done in australia. ...Read more
Common: All infants have a patent foramen ovale (pfo) as a fetus. This allows the fetal circulation to flow. Once born the pfo will close as the concentratiojn of oxygen in the blood rises. In a small percentage of infants the pfo may persist. Figures on this occurrence vary from 10-15%. Rarely is any treatment required unless the blood flow is severely affected. Most close within 1-2 years of birth. ...Read more
Usually none: About 20% of all adults have pfo. Most people never have symptoms. Pagtent foramen ovale has been associated with cryptogenic stroke (a stroke thought to come from a small clot passing across the pfo from the right side of the heart to the left), migraine headaches, and decompression illness in scuba divers. ...Read more
Surgery: Most patent foramen ovales (pfo) do not have to be repaired. However if repair is indicated due to failure or respiratory issues, it would require open median sternotomy and probably 5-6 days in the hospital. This of course depends on the age of the patient. ...Read more
Mostly benign: This is a small window between the upper heart chambers that is usually blocked off after birth. When baby starts to breathe, the circulation changes, increasing pressure that closes a flap over this window. It can still open if pressures in the upper chambers allow it. Very rarely, a person can pass a clot though that point and trigger a stroke. For most of us, it is of no functional importance. ...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
Catheter based: A PFO is usually repaired with a heart catheterization. An occluding device is delivered with a catheter from the leg and placed in the pfo. Closure is usually 100% effective. ...Read more
Long life: A patent foramen ovale is very common, and usually it is not known. Typically you would expect a normal life span, unless it is a contributing factor in other health problems, such as a stroke. ...Read more
When it's big: Most foramen ovale close after a baby is born, however sometimes it does not close. If a person has heart problem, pictures are taken a patent foramen may be discovered. If the pfo is contributing to a heart problem it may be closed, however many are discovered only after a person dies of other causes and happens to have autopsy, in other words people likely have them and they don't effect them. ...Read more
A foramen ovale (pfo) is a small hole between the two upper chambers of the heart. It exists as part of the "fetal circulation, " when babies are inside, lungs are full of amniotic fluid. The pfo allows oxygenated blood returning from the placenta to cross into the left atrium.
Pfos usually close, however if they do not there is a very small risk for a stroke or tia.
Most people have no symptoms. ...Read more
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