Doctor insights on:
Pfo With Left To Right Shunt
Have had stroke, had toe test on heart found PFO tunnel with right left shunt permanently. And prominent ev. Should this be closed?
Not yet: I question your right to left permanent shunt. In otherwise normal hearts the pressure on the left side is higher, making right to left shunting episodic at best. The current trials do not support closure of pfos to prevent stroke. ...Read more
I had a tee it showed moderate shunting. The doctor said it could be a PFO or an avm. Pfo bubbles 1-2 and avm bubbles 4-6, mine 3-4?
There are no: Hard & fast rules when it comes to this. The #s you are referring to are the number of cardiac cycles before bubbles are seen on the left side of the heart. 3-4 favors pfo over intrapulomnary shunting (late passage). ...Read more
PFO: The patent foramen ovale (PFO) is a small communication between the right and left upper chambers of your heart. It is needed for oxygenation when you're fetus. Sometimes it doesn't close. It is thought to be present in ~20 to 30% of the population. The shunt means they can see the passage of blood through it. This small hole is inconsequential and USUALLY requires no further testing or treatment. ...Read more
Hi doctors, can you tell me what does "small patent foramen ovale with noted bidirectional shunt" mean?
Pfo is patent: Foramen ovale did not close and allows to and fro movement of blood across the opening. ...Read more
If I have an asa, PFO with interatrial shunting visible on tee am I at an increased risk for a stroke and is there anything I can do to decrease risk?
Is a PFO the same as atrial septal defect? Echo states abnormal shunt suggestive small atrial septal defect. What does suggestive mean is it def small?
How common are my cardio findings? All were said to be "small". Leaky mitral valve, PFO with minimal shunting and ASA. Dr says no need to treat at all
Asa: An atrial septal aneurysm may put one at increased risk for stroke. Small "probe patent" pfo is very common. Up to 30% of pts at autopsy have it. However and pfo with associated ASA may need prophylactic antiplatelet therapy. Agree with my colleages in seeking a neurologist or cardiologist for further advice. Especially someone who can actually look at the echo ...Read more
I have a pfo. Latley I been getting come n go chest pain sharp on the left side n sometimes a racing heartbeat. And been real fatigue help?
Pfo: A patent foramen ovale is an open connection between the upper heart chambers. The symptoms you note could indicate a problem associated with it. You should consult your dr. To see if something is going on with your heart. ...Read more
Iam 47 /female had a day of sudden numbness in left arm lasting <5min. 5 hrs later left sd of face. Also have PFO and history migraines (never like this) TIA or migraine? 2 m.D.'s debate dx. Do I close pfo
DIFFICULT CHOICE: If your pfo is closed, technically is not a major procedure, there is a potential of controlling migraine (not fully proven yet), and protection against future paradoxical embolism through the pfo. The timing of your event is far more consistent with a blood clot than a classical migraine event, but gather that no primary source was discovered. Would go to academic center and get opinion. ...Read more
20 yrs old female asthma I keep getting lil chest pain right or left I been told I have PFO ER bllod wrk negative and EKG help n shortness of breath?
How are you using your asthma meds?
Do you have an action plan you are following or are you using your medication "as needed"?
Asthma meds are not used as needed, that means you use them when you have symptoms and not used to control symptoms.
Ask your doc to review your type of medications and get pulmonary function tests. ...Read more
Chest pain left upper quadrant come n go shortness of breath racing heart beat. Asthma n a PFO help what should I do?
You: Should be seen first by your family practitioner/cardiologist who is aware about your pfo. You may also have pots. Check it out, google first the term postural orthostatic tachycardic syndrome. ...Read more
How is an emboli able to traverse a patent foramen ovale if the net flow of blood is from left to right atrium?
Possible: The heart is a pump and a dynamic process. The net pressure is from high to low. But invariably with activity motion and changing in position the flow can switch transiently. If a clot is in the flow at that time then it can become an arterial emboli with all its consequences. ...Read more
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
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