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Patent Foramen Ovale Closure In San Antonio
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Multi-State
City:
San Antonio
Control #:
US-000281
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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.
PFO Closure Recovery Most people can return to their usual activities within a week. An echocardiogram will be performed 30 days to six months after your procedure to confirm complete closure. A PFO closure device remains in your heart permanently. Over time, your heart tissue grows around the device.
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.
Risks or complications of PFO closure may include: Atrial fibrillation (afib) or another type of abnormal heart rhythm (arrhythmia). Issues with blood vessels involved in the procedure. Blood clot.
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.
A healthcare provider may recommend a PFO closure procedure if: You've had a transient ischemic attack (TIA) more than once. You've had cryptogenic (from an unknown cause) strokes more than once. You have a low level of oxygen in your blood.
Approximately 1 in 6 patients who undergo percutaneous transcatheter closure of PFO after stroke or transient ischemic attack experience a serious complication or death within 5 years.
Procedures to close a patent foramen ovale include: Device closure. In this procedure, the provider inserts a thin, flexible tube called a catheter into a blood vessel in the groin area. The catheter tip has a device to plug the PFO . Surgical closure. In this heart surgery, the surgeon uses stitches to close the PFO .
Most PFOs don't need to be closed. Most PFOs cause no symptoms or complications. Larger PFOs may cause stroke. People with symptomatic or large PFOs may benefit from a procedure to close the hole.
Don't take a bath or swim for 1 week, or until your doctor tells you it is okay. Watch for bleeding from the site. A small amount of blood (up to the size of a quarter) on the bandage can be normal. If you are bleeding, lie down and press on the area for 15 minutes to try to make it stop.
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Mark Gajjar, M.D.. Southwest Texas Methodist Hospital 7700 Floyd Curl Dr. San Antonio, TX 78229 . Jorge Alvarez, M.D.. Texas Children's HospitalThere are two procedures to close a patent foramen ovale are cardiac catheterization and robotic surgical repair. A specialized, FDA-approved device can be used to close a hole in the heart, called an ASO, or "Amplatzer Septal Occluder." AMPLATZER™ PFO occluder (St. Table 1 Demographic, Clinical, and PFO Characteristics of Enrolled Patients With Complete Follow-Up. Robert A. Hull, Division of Cardiology, San Antonio Military. Jude Medical) for secondary prevention of stroke.