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Doctor insights on: Recovery After Pfo Closure

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What does it meant to have a PFO closure procedure?

What does it meant to have a PFO closure procedure?

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

Dr. Donna Wilkins
165 Doctors shared insights

Patent Foramen Ovale (Definition)

Hole or communication between right and left atria, the upper heart chambers. The hole is open during fetal circulation and closes after birth. If it remains open it is termed a patent foramen ovale. Symptoms ...Read more


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What issues are possible for adults following PFO closure?

What issues are possible for adults following PFO closure?

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

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Is oral sex okay a day after a PFO closure attempt?

Is oral sex okay a day after a PFO closure attempt?

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

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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.

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

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Is Flecainide dangerous with a PFO Closure?

NO: Flecainide has been shown to be dangerous in the early period following a myocardial infarction (CAST study). That concern is extrapolated to avoid use in anyone with previous MI. The mechanism is related to scarred ventricular myocardium. PFO closure doesn't involve the ventricles and shouldn't be a problem. Flec is great for AF which is an atrial problem, like PFO closure. ...Read more

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What should I ask my doctor before I have a PFO closure?

What should I ask my doctor before I have a PFO closure?

See below: Pfo do not need to be closed unless causing stroke or systemic embolism or if associated with severe migraines. This needs to be distinguished from a atrial septal defect. So what I would ask is whether surgery indicated. ...Read more

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I have had a PFO closure in 2010. I am currently on Flecainide for AF which is working. Is a PFO closure ok with Flecainide?

Yes: PFO closure devices are just synthetic materials used to patch up a hole in your heart (don't worry about 20-25% of people have this hole, but not everyone needs it closed). Flecamide has no interaction with your PFO closure, it's likely beig used to keep you out of afib. Follow-up with your cardiologist and your will do well. ...Read more

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I'm having a PFO closure on Friday. How many days will I need off work to recover? When should I return to work (desk job)?

I'm having a PFO closure on Friday. How many days will I need off work to recover? When should I return to work (desk job)?

Percutaneously?: Not sure if your procedure is percutaneous or open? Assuming it's not open heart surgery and that you have no complications, you'll be back at your desk on Monday morning. Good luck! ...Read more

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Recommended PFO closure after 4+ infarcts shown on mri, opinions seem to differ greatly, what do you think? It would be using catheter method.

Recommended PFO closure after 4+ infarcts shown on mri, opinions seem to differ greatly, what do you think? It would be using catheter method.

Yes: One of the risks of a pfo (patent foramen ovale) is a stroke. This is caused a paradoxical embolus. The catheter method is a good option with rapid recovery. Some places offer a surgical closure using a robotic approach through a 1 inch incision. ...Read more

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I have a PFO closure? Is a PFO hereditary? In what year was it checked for at birth? My son was born in July 1982 and he's been getting palpitations.

I have a PFO closure? Is a PFO hereditary? In what year was it checked for at birth? My son was born in July 1982 and he's been getting palpitations.

Normal finding: A PFO is a common finding in humans. It has a flap over it that is usually closed after birth when blood flow requirements change. I would look to something else as a trigger for palpitations. ...Read more

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Is a PFO closure a structural heart defect in relation to Flecainide?

Is a PFO closure a structural heart defect in relation to Flecainide?

Patent foramen ovale: This is usually a defect you are born with, sometimes it does not show up until later in life when patient has a stroke or other problem. It would not be caused by flecainide. ...Read more

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I'm 66 and on Flecainide for AF due to PFO closure. Also on Warfarin for same reason. I'm afraid of the flue injection - any advice?

I'm 66 and on Flecainide for AF due to PFO closure. Also on Warfarin for same reason. I'm afraid of the flue injection - any advice?

Flu injection: The flu is a significant risk and the shot is usually a lower risk than the risk of hematoma from the shot in someone on warfarin. You should discuss this with your Dr. Who is familiar with your anticoagulation state and your history of problems with it. ...Read more

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I'm waiting a PFO closure and my ECG showed sinus rhythm with partial right bundle branch block are they the same thing?

I'm waiting a PFO closure and my ECG showed sinus rhythm with partial right bundle branch block are they the same thing?

No: Incomplete rbbb is the textbook finding in the presence of pfo and is due to right ventricular volume overload over a long time. Irbbb, itself, is harmless, doesn't cause symptoms, is just a marker, and doesn't need treatment. Sinus rhythm is the medical name for normal rhythm. ...Read more

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Might doctors see carotid artery during PFO closure in cath lab?

They don't but can: Usually angiogram of the aorta and carotid arteries is not part of the cath. Procedure for pfo closure. So it is not performed. But, technically, an angiogram of the carotids, coronaries or other structures can be performed during the same procedure if there was an indication for it. ...Read more

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Pfo closure 3mths ago. Scraped dried food off plate & it went in nail bed of thumb. Very painful-is there any risk of endocarditis from infection?

Pfo closure 3mths ago. Scraped dried food off plate & it went in nail bed of thumb. Very painful-is there any risk of endocarditis from infection?

Likely low risk: However it is a good idea to let your physician check your thumb for signs of infection and discuss with you directly what measures may need to be taken. ...Read more

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What is the difference between PFO and pda?

What is the difference between PFO and pda?

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

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What is the surgery to close a pfo?

PFO: There are open heart procedures to patch the hole in the atrial wall as well as transcatheter procedures to close the hole. ...Read more

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Should a pfo/asd be closed in adult?

Should a pfo/asd be closed in adult?

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

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How life threatening is having a pfo?

How life threatening is having a pfo?

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

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What does it mean if the echo showed pfo?

What does it mean if the echo showed pfo?

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

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How is PFO (patent foramen ovale) treated?

How is PFO (patent foramen ovale) treated?

PFO: Patent foramen ovale or pfo is a congenital remnant which normally closes at birth but for several reasons can open later in life. Blood or clots can travel across and if they do, the opening should be closed. It can be closed either surgically or by a catheter based procedure. ...Read more

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Are migraines and a prior PFO related in a child?

Are migraines and a prior PFO related in a child?

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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How do I know if I have a pfo (patent foramen ovale)?

How do I know if I have a pfo (patent foramen ovale)?

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

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What is the difference between PFO and PDA in a baby?

What is the difference between PFO and PDA in a baby?

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

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Can you tell me if a child has a PFO (patent foramen ovale), what to do?

Can you tell me if a child has a PFO (patent foramen ovale), what to do?

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

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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?

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?

Yes: You should speak with your primary care physician and a cardiologist to gauge how severe the pfo is currently. Together they can design a safe exercise program for you. ...Read more