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Patent foramen ovale: is it an incidental finding to ignore or a disease to follow?

Part of: Atrial Septal Defect (ASD) Echocardiography

Published online by Cambridge University Press:  14 December 2020

Maria Ossa-Galvis ,
Seshadri Balaji  and
Sethuraman Swaminathan Open the ORCID record for Sethuraman Swaminathan [Opens in a new window]
Maria Ossa-Galvis
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Jackson Memorial Hospital, University of Miami, Miller School of Medicine, Miami, Florida, USA
Seshadri Balaji
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Oregon Health Sciences University, Portland, Oregon, USA
Sethuraman Swaminathan*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Jackson Memorial Hospital, University of Miami, Miller School of Medicine, Miami, Florida, USA
*
Author for correspondence: Dr S. Swaminathan, MD, Department of Pediatrics, University of Miami, Miller School of Medicine, 1611 NW 12th Ave, North Wing Rm 109, Miami, FL 33136, USA. Tel: +305-585-6683; Fax: +305-324-6012. E-mail: [email protected]
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Abstract

The authors briefly present two clinical cases and discuss the approach to the management of an incidental finding of patent foramen ovale (PFO) in a young child. We discuss the current controversies in the management of PFO in this age group.

Keywords

Patent foramen ovaleoutpatient cardiologypractice perspectives
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 3 , March 2021 , pp. 468 - 470
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Hagen, PT, Scholz, DG, Edwards, WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984; 59: 17–20.CrossRefGoogle ScholarPubMed
Lechat, P, Mas, JL, Lascault, G, et al. Prevalence of patent foramen ovale in patients with stroke. N Engl J Med 1988; 318: 1148–1152.CrossRefGoogle ScholarPubMed
Homma, S, Sacco, RL. Patent foramen ovale and stroke. Circulation 2005; 112: 1063–1072.CrossRefGoogle ScholarPubMed
Mallick, AA, Ganesan, V, Kirkham, FJ, et al. Childhood arterial ischaemic stroke incidence, presenting features, and risk factors: a prospective population-based study. Lancet Neurol 2014; 13: 35–43.CrossRefGoogle ScholarPubMed
Khan, R, Chan, AK, Mondal, TK, Paes, BA. Thrombosis, hemostasis in newborns G. patent foramen ovale and stroke in childhood: a systematic review of the literature. Eur J Paediatr Neurol 2016; 20: 500–511.CrossRefGoogle Scholar
Hubail, Z, Lemler, M, Ramaciotti, C, Moore, J, Ikemba, C. Diagnosing a patent foramen ovale in children: is Trans esophageal echocardiography necessary? Stroke 2011; 42: 98–101.CrossRefGoogle Scholar
Mojadidi, MK, Christia, P, Salamon, J, et al. Patent foramen ovale: unanswered questions. Eur J Intern Med 2015; 26: 743–751.CrossRefGoogle ScholarPubMed
Mojadidi, MK, Mahmoud, AN, Patel, NK, Elgendy, IY, Meier, B. cryptogenic stroke and patent foramen ovale: ready for prime time? J Am Coll Cardiol 2018; 72: 1183–1185.CrossRefGoogle ScholarPubMed
Kernan, WN, Ovbiagele, B, Black, HR, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2014; 45: 2160–2236.CrossRefGoogle ScholarPubMed
Messe, SR, Gronseth, G, Kent, DM, et al. Practice advisory: recurrent stroke with patent foramen ovale (update of practice parameter): report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2016; 87: 815–821.CrossRefGoogle ScholarPubMed
Alsheikh-Ali, AA, Thaler, DE, Kent, DM. Patent foramen ovale in cryptogenic stroke: incidental or pathogenic? Stroke 2009; 40: 2349–2355.CrossRefGoogle ScholarPubMed
Kent, DM, Ruthazer, R, Weimar, C, et al. An index to identify stroke-related versus incidental patent foramen ovale in cryptogenic stroke. Neurology 2013; 81: 619–625.CrossRefGoogle Scholar