Doctor insights on:
Recovery After Pfo Closure
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
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
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
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
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
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
Just found out that my PFO closure may have been an ASD closure. Is an ASD closure safe with flecainide?
Yes: It can prevent any possible arrhythmia.Get a more detailed answer ›
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
Recommended PFO closure after 4+ infarcts shown on mri, opinions seem to differ greatly, what do you think? It would be using catheter method.
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
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
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
No.: No.Get a more detailed answer ›
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
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
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
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
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
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