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Extreme exercise dislike of a toddler due to a patent foramen ovale

Part of: Interventional Cardiology

Published online by Cambridge University Press:  11 December 2018

Charlotte Grootaers ,
Mieke Roggen Open the ORCID record for Mieke Roggen [Opens in a new window]  and
Marc Gewillig
Charlotte Grootaers
Affiliation:
Fetal and Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
Mieke Roggen
Affiliation:
Fetal and Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
Marc Gewillig*
Affiliation:
Fetal and Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
*
Author for correspondence: M. Gewillig, MD, PhD, Pediatric and Congenital Cardiology, Universitair Ziekenhuis Leuven, Herestraat 49, 3000 Leuven, Belgium. Tel: +32-16-343865; Fax: +32-16-343981; E-mail: [email protected]
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Abstract

A 5-year-old girl presented with chronic fatigue and extreme exercise intolerance. After countless doctor visits, investigations, and hospital admissions, striking desaturation during exercise test pointed to a cardiovascular problem. Desaturation as a result of right-to-left shunting through a patent foramen ovale during upright exercise was hypothesised. A cardiac catheterisation confirmed the presence of an unusually cranially located patent foramen ovale; the defect was subsequently closed. Physical re-evaluation 6 weeks later showed spectacular physical and mental improvement and stabile saturation during exercise.

Keywords

patent foramen ovalechronic fatigueexercise intolerancecyanosisheart catheterisation
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 247 - 248
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Grootaers C, Roggen M, Gewillig M. (2018) Extreme exercise dislike of a toddler due to a patent foramen ovale. Cardiology in the Young page 247 of 248. doi: 10.1017/S1047951118002044

References

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