Patent foramen ovale natural history, complications and prognosis: Difference between revisions
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===Complications=== | ===Complications=== | ||
*Common complications of patent foramen ovale include: | *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> | ||
**Paradoxical embolism (from a venous thrombi leading to stroke) | **Paradoxical embolism (from a venous thrombi leading to stroke) | ||
Revision as of 17:54, 19 November 2019
Patent Foramen Ovale Microchapters |
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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]
- Paradoxical embolism (from a venous thrombi leading to stroke)
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.