Patent foramen ovale natural history, complications and prognosis: Difference between revisions
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===Complications=== | ===Complications=== | ||
*Common complications of patent foramen ovale include:<ref name="pmid27188965">{{cite journal| author=Homma S, Messé SR, Rundek T, Sun YP, Franke J, Davidson K et al.| title=Patent foramen ovale. | journal=Nat Rev Dis Primers | year= 2016 | volume= 2 | issue= | pages= 15086 | pmid=27188965 | doi=10.1038/nrdp.2015.86 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27188965 }} </ref><ref name="pmid28886845">{{cite journal| author=Tobis JM, Narasimha D, Abudayyeh I| title=Patent Foramen Ovale Closure for Hypoxemia. | journal=Interv Cardiol Clin | year= 2017 | volume= 6 | issue= 4 | pages= 547-554 | pmid=28886845 | doi=10.1016/j.iccl.2017.05.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28886845 }} </ref> | *Common complications of patent foramen ovale include:<ref name="pmid27188965">{{cite journal| author=Homma S, Messé SR, Rundek T, Sun YP, Franke J, Davidson K et al.| title=Patent foramen ovale. | journal=Nat Rev Dis Primers | year= 2016 | volume= 2 | issue= | pages= 15086 | pmid=27188965 | doi=10.1038/nrdp.2015.86 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27188965 }} </ref><ref name="pmid28886845">{{cite journal| author=Tobis JM, Narasimha D, Abudayyeh I| title=Patent Foramen Ovale Closure for Hypoxemia. | journal=Interv Cardiol Clin | year= 2017 | volume= 6 | issue= 4 | pages= 547-554 | pmid=28886845 | doi=10.1016/j.iccl.2017.05.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28886845 }} </ref><ref name="KolteInglessis2020">{{cite journal|last1=Kolte|first1=Dhaval|last2=Inglessis|first2=Ignacio|last3=Elmariah|first3=Sammy|title=Peripheral Embolism and PFO|year=2020|pages=109–113|doi=10.1016/B978-0-12-816966-7.00009-9}}</ref> | ||
**Paradoxical embolism (from a venous thrombi leading to cerebral or peripheral stroke) | **Paradoxical embolism (from a venous thrombi leading to cerebral or peripheral stroke) | ||
**Hypoxemia | **Hypoxemia |
Revision as of 16:19, 21 November 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]
Overview
The presence of a patent foramen ovale has been linked to decompression sickness, paradoxical embolism and migraine. There is a debate within the neurology and cardiology communities about the role of a patent foramen ovale in cryptogenic stroke. The prognosis of uncomplicated patent foramen ovale is generally good.
Natural History, Complications, and Prognosis
Natural History
Complications
- Common complications of patent foramen ovale include:[1][2][3]
- Paradoxical embolism (from a venous thrombi leading to cerebral or peripheral stroke)
- Hypoxemia
Prognosis
- The prognosis of patent foramen ovale depends on the size of defect, amount of shunting and presence of any associated defects.
- Overall, the prognosis of patients with patent foramen ovale is good.
- Some infants presenting with cyanosis due to right-to-left shunting, might have complete resolution as they grow up (due to decrease in pulmonary vascular resistance).
- Patent foramen ovale associated with other congenital heart defects like Ebstein's anomaly might continue to have problems due to right-to-left shunting.
- Also, some patients with cryptogenic stroke might continue to have transient ischemic attacks and stroke due to continued right-to-left shunting.
- An incidentally discovered, asymptomatic patent foramen ovale, doesn't require any special treatment or follow-up.
References
- ↑ Homma S, Messé SR, Rundek T, Sun YP, Franke J, Davidson K; et al. (2016). "Patent foramen ovale". Nat Rev Dis Primers. 2: 15086. doi:10.1038/nrdp.2015.86. PMID 27188965.
- ↑ Tobis JM, Narasimha D, Abudayyeh I (2017). "Patent Foramen Ovale Closure for Hypoxemia". Interv Cardiol Clin. 6 (4): 547–554. doi:10.1016/j.iccl.2017.05.003. PMID 28886845.
- ↑ Kolte, Dhaval; Inglessis, Ignacio; Elmariah, Sammy (2020). "Peripheral Embolism and PFO": 109–113. doi:10.1016/B978-0-12-816966-7.00009-9.