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If a PFO exists, a little blood can flow between the atria through the flaps. This flow is not normal. The condition is most important because it raises the risk for stroke. Blood clots can travel from the right atrium to the left atrium and out to blood vessels of the body.
Some researchers say a PFO closure doesn't reduce your stroke risk much more than medication. But others have found that having a catheter-based procedure for PFO closure and taking blood-thinning drugs like aspirin gives people a lower rate of stroke than people who received only aspirin.
If you were born with a hole in your heart that never closed, known as a patent foramen ovale (PFO), you may need a procedure to correct it. Penn Medicine cardiologists use interventional techniques to close a patent foramen ovale without opening your chest for surgery.
A PFO closure is only utilized if a patient has experienced a stroke, and other causes of stroke and blood clots have been ruled out. A patient with a PFO without a history of stroke would not require a PFO closure and may continue to live a healthy life with this incidental finding.
Your Recovery The procedure can help prevent a stroke in some people. Your doctor used a thin, flexible tube called a catheter to place a small device that closes the PFO. After the procedure, you may stay the night in the hospital. Or you may go home the same day.
If a PFO exists, a little blood can flow between the atria. A robotic-assisted patent foramen ovale repair is a type of minimally invasive surgery. Minimally invasive means that the surgery uses smaller cuts (incisions) than a traditional open heart surgery. Recovery may be easier and faster.
People who do not respond to medication may need a minimally invasive, catheter-based procedure. Your interventional cardiologist closes the PFO with a small closure device. This is done in a cardiac catheterization (cath) laboratory.
Your healthcare provider may also repair the PFO by transcatheter repair or heart surgery. A transcatheter repair is less invasive than a surgical repair.
You may be asleep for the procedure, or you may get a sedative to help you relax. Your doctor makes a small cut in your groin. Then the catheter, with tools inside it, is put into your blood vessel and carefully guided to your heart. Your doctor moves the tip of the catheter to place a small device inside the PFO.