Pulmonary Venous Aneurysm Coiling for Hemoptysis via Known Patent Foramen Ovale
Publication date: February 2021Source: Journal of Vascular and Interventional Radiology, Volume 32, Issue 2Author(s): John D. Mayfield, Christine M.G. Schammel, Jonathan R. Hinshelwood, A. Michael Devane (Source: Journal of Vascular and Interventional Radiology)
Source: Journal of Vascular and Interventional Radiology - January 21, 2021 Category: Radiology Source Type: research

Treatment with a Direct Oral Anticoagulant for Nonbacterial Thrombotic Endocarditis.
Authors: Tamura Y, Sakata K, Terada K, Usui S, Kawashiri MA, Takamura M Abstract We herein report a case of nonbacterial thrombotic endocarditis (NBTE) in a patient with previously undiagnosed lung cancer. A 62-year-old woman presented to our hospital with multiple cerebral infarctions. There was no evidence of valvular heart disease or vegetations. Whole-leg ultrasonography revealed deep vein thrombosis of the left peroneal vein. We administered direct oral anticoagulants (DOACs) for a presumed diagnosis of paradoxical embolisms caused by patent foramen ovale. Unfortunately, she experienced further embolization an...
Source: Internal Medicine - January 21, 2021 Category: Internal Medicine Tags: Intern Med Source Type: research

Pulmonary Venous Aneurysm Coiling for Hemoptysis via Known Patent Foramen Ovale
An 83-year-old female presented with hemoptysis and chronic hypoxic respiratory failure complicated by stenotrophomonas infection. A computed tomography angiogram demonstrated a large cavitary lesion in the right upper lobe with a pseudoaneurysm measuring 2.1  × 1.7 cm (Fig 1). Pulmonary angiography demonstrated a right upper lobe pseudoaneurysm (2.6 × 2.3 cm; Fig 2a) arising from the pulmonary vein. The feeding branch of the right upper lobe pulmonary artery was coil embolized with 1 Azur (Terumo) and 4 Ruby (Penumbra) detachable coils (Fig 2b). (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - January 21, 2021 Category: Radiology Authors: John D. Mayfield, Christine M.G. Schammel, Jonathan R. Hinshelwood, A. Michael Devane Tags: Extreme IR Source Type: research

Patent foramen ovale closure in the management of cryptogenic stroke: a review of current literature and guideline statements.
CONCLUSION: PFO closure can be considered for the prevention of recurrent cryptogenic stroke in patients aged ≤60 years after a thorough evaluation and discussion about benefits and potential risks (including but not limited to atrial fibrillation) of the procedure. Accumulating evidence supports prognostic, quality of life, and economic benefit from percutaneous PFO closure with newer generation closure devices in the right subset of patients. PMID: 33460329 [PubMed - as supplied by publisher] (Source: Current Medical Research and Opinion)
Source: Current Medical Research and Opinion - January 20, 2021 Category: Research Tags: Curr Med Res Opin Source Type: research

Persistent atypical atrial flutter after device closure of the atrial septal defect in a young man
We describe a case of persistent atypical atrial flutter following device closure of ASD in a young man and discuss the management strategy given the various underlying dilemmas. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Keerthika Ravella Shrikant Bhoskar Neeta Bachani Yash Lokhandwala Bharat Dalvi Source Type: research

Analysis of the characteristics of sleep in patients with patent foramen ovale complicated with obstructive sleep apnea
AbstractPurposeAnalyzing sleep quality and sleep structure in patients with patent foramen ovale (PFO) complicated with obstructive sleep apnea (OSA) and the interaction between OSA and PFO in sleep.MethodsWe compared patients with PFO complicated with OSA, patients with simple PFO, and controls. Pittsburgh Sleep Quality Index was used to compare sleep quality and polysomnography was used to compare sleep structure of the three groups.ResultsCompared with the control group  (n = 62), PFO with OSA (n = 48) and simple PFO (n = 61) groups had more frequent occurrence of poor sleep quality (χ2 = 89.901;p
Source: Sleep and Breathing - January 13, 2021 Category: Respiratory Medicine Source Type: research

Analysis of the characteristics of sleep in patients with patent foramen ovale complicated with obstructive sleep apnea.
Abstract PURPOSE: Analyzing sleep quality and sleep structure in patients with patent foramen ovale (PFO) complicated with obstructive sleep apnea (OSA) and the interaction between OSA and PFO in sleep. METHODS: We compared patients with PFO complicated with OSA, patients with simple PFO, and controls. Pittsburgh Sleep Quality Index was used to compare sleep quality and polysomnography was used to compare sleep structure of the three groups. RESULTS: Compared with the control group (n = 62), PFO with OSA (n = 48) and simple PFO (n = 61) groups had more frequent occurrence of poor sleep quality (χ2 = 89.901; p
Source: Sleep and Breathing - January 13, 2021 Category: Sleep Medicine Authors: Li X, Liu C, Wu J, Jia Y, Li H, Yu H, Guan Z, Zhao Y, Sun S Tags: Sleep Breath Source Type: research

Assessment of left ventricular filling pressure with Doppler velocities across the patent foramen ovale
AbstractBackgroundThe utility of Doppler velocities across the patent foramen ovale (PFO) to estimate left ventricular (LV) filling pressure is not well known.MethodsThe best cut-off value of peak interatrial septal velocity across a transeptal puncture site measured by transesophageal echocardiography for estimating high mean left atrial (LA) pressure ( ≥ 15 mmHg) was determined in 17 patients. This cut-off value was subsequently applied to 67 patients with a PFO undergoing transthoracic echocardiography (TTE) for assessing the value of PFO velocity in determining LV filling pressure.ResultsThe peak systoli...
Source: Journal of Echocardiography - January 12, 2021 Category: Cardiology Source Type: research

Safety and efficiency of multimodal imaging approach of patent foramen ovale closure in patients with cryptogenic stroke
Publication date: January 2021Source: Archives of Cardiovascular Diseases Supplements, Volume 13, Issue 1Author(s): A. Gardenat, P. Aldebert, J. Deharo, J. Bonnet, O. Torras, P. Deharo, G. Bonnet, G. Habib (Source: Archives of Cardiovascular Diseases Supplements)
Source: Archives of Cardiovascular Diseases Supplements - January 9, 2021 Category: Cardiology Source Type: research

New-onset atrial fibrillation following percutaneous closure of patent foramen ovale: a systematic review and meta-analysis
ConclusionsThe incidence of AF post-PFO closure was low across studies, with a high level of between-study heterogeneity. Until a concerted effort is made to improve accurate AF diagnosis, it will be difficult to gauge the association between transcatheter PFO closure and incidence of AF. (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - January 8, 2021 Category: Cardiology Source Type: research

New-onset atrial fibrillation following percutaneous closure of patent foramen ovale: a systematic review and meta-analysis.
CONCLUSIONS: The incidence of AF post-PFO closure was low across studies, with a high level of between-study heterogeneity. Until a concerted effort is made to improve accurate AF diagnosis, it will be difficult to gauge the association between transcatheter PFO closure and incidence of AF. PMID: 33420712 [PubMed - as supplied by publisher] (Source: Diagnostic and Interventional Radiology : The Turkish Society of Radiology)
Source: Diagnostic and Interventional Radiology : The Turkish Society of Radiology - January 8, 2021 Category: Radiology Authors: Oliva L, Huszti E, Barker M, Frankfurter C, Hall R, Horlick E, Abrahamyan L Tags: J Interv Card Electrophysiol Source Type: research

Management of Patients With a Patent Foramen Ovale With History of Stroke or TIA
This Clinical Guidelines Synopsis summarizes the American Academy of Neurology ’s practice advisory update on management of patients with a patent foramen ovale who have a history of stroke or transient ischemic attack. (Source: JAMA)
Source: JAMA - January 5, 2021 Category: General Medicine Source Type: research

Diagnosis of patent foramen ovale using maximum intensity T-projection imaging
AbstractAccurate diagnosis of patent foramen ovale (PFO) and grading of right-to-left shunt severity by the standard method of transthoracic or transesophageal echocardiography (TEE) with bubble injection is often challenging. We proposed the novel Maximum Intensity T-Projection (MIP) Imaging method as a complementary or alternative approach for simplified diagnosis and grading of PFO. MIP Imaging represents the superimposition of all frames of an echocardiographic video onto one image. Thus, all bubbles passing from right to left atrium are represented in this single image. Diagnosis and quantification of PFO by MIP Image...
Source: The International Journal of Cardiovascular Imaging - January 4, 2021 Category: Radiology Source Type: research

Thrombus straddling a patent foramen ovale in a patient with pulmonary embolism related to essential thrombocythemia.
PMID: 33386598 [PubMed - as supplied by publisher] (Source: International Journal of Hematology)
Source: International Journal of Hematology - January 2, 2021 Category: Hematology Authors: Tan JS, Yan XX, Gao X, Hu S, Hua L Tags: Int J Hematol Source Type: research

Who Should Rather Undergo Transesophageal Echocardiography to Determine Stroke Etiology: Young or Elderly Stroke Patients?
Introduction: The indication of transesophageal echocardiography (TEE) in acute stroke is unclear. Thus, we systematically studied the impact of TEE on determining stroke etiology and secondary prevention in patients of different age-groups with cryptogenic stroke.Methods: Four hundred and eighty five consecutive patients with acute retinal or cerebral ischemia were prospectively included and underwent routine stroke workup including TEE. Stroke etiology was identified according to the TOAST classification and patients were divided in those with determined and cryptogenic stroke etiology without TEE results. Then, the freq...
Source: Frontiers in Neurology - December 18, 2020 Category: Neurology Source Type: research

A review of diving practices and outcomes following the diagnosis of a persistent (patent) foramen ovale in compressed air divers with a documented episode of decompression sickness.
CONCLUSIONS: Many divers had already adopted practices consistent with the 2015 JPS permitting the resumption of scuba diving with a lowering of the incidence of DCS to that of the general diving population. These results support the recommendations of the JPS. PMID: 33325017 [PubMed - in process] (Source: Diving and Hyperbaric Medicine)
Source: Diving and Hyperbaric Medicine - December 17, 2020 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research

Aortic thrombosis and renal infarction in a young female with patent foramen ovale and COVID ‐19 antibody
Thrombotic complications in patients with prior COVID ‐19 infection raises concern for a persistent hypercoagulable state among these patients. Thus, there is a dire need for further research aimed at anticoagulation guidelines for the same. AbstractThrombotic complications in patients with prior COVID ‐19 infection raises concern for a persistent hypercoagulable state among these patients. Thus, there is a dire need for further research aimed at anticoagulation guidelines for the same. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 2, 2020 Category: General Medicine Authors: Sanchit Kundal, Emmanuel U. Emeasoba, Chad Harris, Gurchetan Randhawa, Mariya Astashkevich Tags: CASE REPORT Source Type: research

The Correlation Between Migraine and Patent Foramen Ovale
Conclusion: The evidence supports a “dose-response” relationship between migraine and PFO although more work needs to be done in terms of patient selection as well as the inclusion of an antiplatelet control group for PFO closure interventions to uncover possible beneficial results in clinical trials. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - December 1, 2020 Category: Neurology Source Type: research

Residual Shunt After Patent Foramen Ovale Closure and Long-Term Stroke Recurrence.
PMID: 33253619 [PubMed - in process] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 1, 2020 Category: Internal Medicine Authors: Aggarwal G, Aggarwal S, Cohen M Tags: Ann Intern Med Source Type: research

Residual Shunt After Patent Foramen Ovale Closure and Long-Term Stroke Recurrence.
PMID: 33253617 [PubMed - in process] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 1, 2020 Category: Internal Medicine Authors: Kumar P, Mojadidi MK, Tobis JM Tags: Ann Intern Med Source Type: research

Residual Shunt After Patent Foramen Ovale Closure and Long-Term Stroke Recurrence.
PMID: 33253615 [PubMed - in process] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 1, 2020 Category: Internal Medicine Authors: Karagianni A, Eriksson P, Dellborg M Tags: Ann Intern Med Source Type: research

Residual Shunt After Patent Foramen Ovale Closure and Long-Term Stroke Recurrence.
PMID: 33253613 [PubMed - in process] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 1, 2020 Category: Internal Medicine Authors: Deng W, Yin S, McMullin D, Inglessis-Azuaje I, Elmariah S, Hung J, Lo EH, Palacios IF, Buonanno FS, Ning M Tags: Ann Intern Med Source Type: research

Point-of-care echocardiography for the evaluation of right-to-left cardiopulmonary shunts: a narrative review
AbstractRight-to-left pulmonary and cardiac shunts (RLS) are important causes of refractory hypoxia in the critically-ill perioperative patient. Using a point-of-care ultrasound (POCUS) agitated saline bubble study for an early diagnosis allows patients with clinically significant RLSs to receive expedited therapy. This narrative review discusses the principles of agitated saline ultrasonography as well as the role of POCUS in detecting the most common RLS types seen in the intensive care unit, including patent foramen ovale, atrial septal defects, and pulmonary arterio-venous malformations. An illustrated discussion of th...
Source: Canadian Journal of Anesthesia - December 1, 2020 Category: Anesthesiology Source Type: research

Previously Undiagnosed Patent Foramen Ovale as Cause of Hypotension and Hypoxemia in a Patient With Recent TandemHeart LVAD Insertion
We present an interesting case of hypotension and hypoxemia in a patient with a TandemHeart LVAD (CardiacAssist, Inc.). The patient was a 64-year-old man with a history of ischemic cardiomyopathy, pulmonary hypertension, and coronary artery disease status post previous coronary artery bypass graft surgery. He presented with left ventricular heart failure and recurrent ventricular tachycardia and underwent ventricular tachycardia ablation assisted by planned percutaneous TandemHeart LVAD. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 24, 2020 Category: Anesthesiology Authors: Edgardo D. Dos Santos, Timothy M. Maus, Christopher R. Tainter Tags: Letter to the Editor Source Type: research

Patent Foramen Ovale Closure: State of the Art
Patent foramen ovale (PFO) is common and occurs in 20 –34% of the population.1 In most infants, the foramen ovale closes soon after birth, with a reduction in pulmonary vascular resistance raising the left atrial pressure above that of the right atrium during the first few breaths, closing the septum. In a significant proportion of individuals, the primum and secundum atrial septa do not fuse, and the foramen ovale remains incompletely closed. (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - November 23, 2020 Category: Cardiology Source Type: research

A Case of Paradoxical Coil Embolism through a Patent Foramen Ovale
Publication date: Available online 19 November 2020Source: Journal of Vascular and Interventional RadiologyAuthor(s): Shibin Mathews, Arber Kodra, Hazim El-Haddad, Chad A. Kliger (Source: Journal of Vascular and Interventional Radiology)
Source: Journal of Vascular and Interventional Radiology - November 21, 2020 Category: Radiology Source Type: research

Risk of congenital cardiovascular anomalies in patients with non-syndromic orofacial cleft: A preliminary case-control study
Conclusions: Our finding reveals that the odds of CCAs are significantly higher in patients with OC than the general population. Future studies could assess the effect of CCAs on surgical outcome. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 21, 2020 Category: Rural Health Authors: O James OA Erinoso OO Adamson OJ Sokunbi FO Agbogidi AA Adekunle AO Ogunlewe EN Ekure WL Adeyemo AL Ladeinde MO Ogunlewe Source Type: research

A Case of Paradoxical Coil Embolism through a Patent Foramen Ovale
A patent foramen ovale (PFO) is currently considered to be the most common conduit for a paradoxical embolism (1). An iatrogenic paradoxical embolism can be a life-threatening complication of intravascular procedures. Typically, iatrogenic emboli can be induced by medical devices that result in the formation of air emboli or by the disruption of inserted therapeutic materials. Iatrogenic emboli can pose serious complications, including end-organ damage, particularly of the brain and heart, which are the first organs to be supplied by the arterial circulation and most vulnerable to ischemia. (Source: Journal of Vascular and...
Source: Journal of Vascular and Interventional Radiology : JVIR - November 19, 2020 Category: Radiology Authors: Shibin Mathews, Arber Kodra, Hazim El-Haddad, Chad A. Kliger Tags: Letter to the Editor Source Type: research

Erratum to 'Previously Undiagnosed Patent Foramen Ovale as Cause of Hypotension and Hypoxemia in a Patient With Recent Tandem Heart LVAD Insertion' [Journal of Cardiothoracic and Vascular Anesthesia 34 (2020) 3170-3172]
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 16, 2020 Category: Anesthesiology Source Type: research

[Intraoperative vascular air embolism : Evidence for risks, diagnostics and treatment].
r A Abstract The entry of gases into the vascular system is called vascular air embolism (VAE). The blocking of the pulmonary circulation by VAE can lead to fulminant right-sided heart failure and cardiocirculatory arrest. A VAE can occur at any time if there is an open connection between the environment and a venous vessel with subatmospheric pressure. This situation occurs during ear nose throat surgery, hip surgery, surgery of the lesser pelvis or breast surgery, if the surgical field is above the level of the heart; however, a VAE can also occur during routine tasks, such as insertion or removal of a cent...
Source: Der Anaesthesist - November 16, 2020 Category: Anesthesiology Authors: Michels P, Meyer EC, Brandes IF, Bräuer A Tags: Anaesthesist Source Type: research

676 Platypnea-Orthodeoxia Syndrome: Key Pathogenetic Role of Patent Foramen Ovale (PFO) and Dramatic Response to PFO Closure
PFO-associated platypnea-orthodeoxia syndrome (POS) is characterised by dyspnoea and hypoxaemia when upright. The pathogenesis is thought to involve an increase in right atrial pressure or change in degree of right to left shunting with upright posture. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - November 8, 2020 Category: Cardiology Authors: F. Othman, N. Collins, B. Bailey, E. Lau, D. Tanous, K. Rao, D. Celermajer, R. Cordina Source Type: research

547 Same Day Discharge Following Percutaneous Closure of Structural Heart Conditions: A Novel and Safe Approach for Patient Management
Percutaneous closure of patent foramen ovale (PFO) and atrial septal defects (ASD) has become more commonly performed due to recent changes in international guidelines supporting its use. The safety and effectiveness of same day discharge (SDD) home for outpatients who present electively for such procedures has not been examined. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - November 8, 2020 Category: Cardiology Authors: A. Prashar, K. Mitchell, M. Sader Source Type: research

354 Incidence and Implication of Persistently Positive Agitated Saline Contrast Studies (ASCS) at 6 Months Post-transcatheter Patent Foramen Ovale (PFO) Closure - Is the Juice Worth the Squeeze?
Transcatheter PFO closure following cryptogenic stroke is performed to prevent recurrent paradoxical embolisation. ASCS during follow-up transthoracic echocardiography (TTE) is routinely undertaken post-procedure to assess for residual right-to-left shunting (RLS). A positive “bubble” study may indicate incomplete device closure/endothelization, or undiagnosed co-existent shunt, however the clinical relevance remains undefined. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - November 8, 2020 Category: Cardiology Authors: S. Boyle, C. McCallum, S. Cox, W. Vollbon, A. Chong, S. Wahi Source Type: research

Advances and Ongoing Controversies in Patent Foramen Ovale Closure and Cryptogenic Stroke
Up to a third of strokes are cryptogenic. The prevalence of patent foramen ovale (PFO) in patients with cryptogenic stroke is higher than in individuals with stroke of known origin. It has been proposed that some cryptogenic strokes can be caused by paradoxic embolism across a PFO. The treatment of PFO includes medical treatment with antithrombotic agents and percutaneous PFO closure. There is limited evidence to support PFO closure in unselected cases of cryptogenic stroke. However, large randomized clinical trials confirmed the superiority of transcatheter PFO closure compared with medical treatment in young patients wit...
Source: Neurologic Clinics - November 7, 2020 Category: Neurology Authors: Joaquin B. Gonzalez, Fernando D. Testai Source Type: research

Left Atrial Function in Young Patients With Cryptogenic Stroke and Patent Foramen Ovale: A Left Atrial Longitudinal Strain Study
Conclusion: LA longitudinal strain in young subjects with CS was impaired in the presence of overweight and hypertension, but not of PFO or PFO plus ASA. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - November 5, 2020 Category: Neurology Source Type: research

NobleStitch ™ EL PFO Closure Guided by Transesophageal Echocardiography
Paradoxical embolism secondary to a persistent patent foramen ovale (PFO) is a significant source of embolic stroke and has been increasingly targeted by percutaneous interventional techniques. Both implanted devices and more recently, “deviceless” closure methods (i.e. suturing) have been developed. While device closure methods have historically been the predominant approach, issues related to the implanted devices such as migration, embolization, need for anticoagulation, device related thrombosis (DRT), erosion into adjacen t cardiovascular structures, and endocarditis are well documented. (Source: Journal o...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 5, 2020 Category: Anesthesiology Authors: Sridhar R. Musuku, Adithya Srikanthan, Divya Cherukupalli, Jaqueline Donovan, Alexander D. Shapeton, Brion Winston Tags: Case Report Source Type: research

NobleStitch EL PFO Closure Guided by Transesophageal Echocardiography
Paradoxical embolism secondary to a persistent patent foramen ovale (PFO) is a significant source of embolic stroke and increasingly has been targeted by percutaneous interventional techniques. Both implanted devices and, more recently, deviceless closure methods (ie, suturing) have been developed. Although device closure methods historically have been the predominant approach, issues related to the implanted devices, such as migration, embolization, need for anticoagulation, device-related thrombosis, erosion into adjacent cardiovascular structures, and endocarditis are well-documented. (Source: Journal of Cardiothoracic ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 5, 2020 Category: Anesthesiology Authors: Sridhar R. Musuku, Adithya Srikanthan, Divya Cherukupalli, Jaqueline Donovan, Alexander D. Shapeton, Brion Winston Tags: Case Report Source Type: research

Transcatheter closure of patent foramen ovale: Current evidence and future perspectives.
Abstract Recent prospective controlled studies have demonstrated that transcatheter closure of a patent foramen ovale (PFO) reduces recurrent stroke risk in select patients, especially in patients younger than 60 years with PFO and embolic-appearing infarct and where no other mechanism of stroke was identified. Detection of PFO depends on the intensity of the Valsalva maneuver, and not all PFOs can be diagnosed using transesophageal echocardiography. Transthoracic contrast echocardiography using abdominal compression during the Valsalva maneuver is an easy method that can increase the detection sensitivity of PFO ...
Source: Journal of Cardiology - October 31, 2020 Category: Cardiology Authors: Akagi T Tags: J Cardiol Source Type: research

Carotid Atherosclerosis and Patent Foramen Ovale in Embolic Stroke of Undetermined Source
Carotid atherosclerosis and likely pathogenic patent foramen ovale (PFO) are two potential embolic sources in patients with embolic stroke of undetermined source (ESUS). The relationship between these two mechanisms among ESUS patients remains unclear. (Source: Journal of Stroke and Cerebrovascular Diseases)
Source: Journal of Stroke and Cerebrovascular Diseases - October 30, 2020 Category: Neurology Authors: George Ntaios, Dimitrios Sagris, Davide Strambo, Kalliopi Perlepe, Gaia Sirimarco, Georgios Georgiopoulos, Stefania Nannoni, Eleni Korompoki, Efstathios Manios, Konstantinos Makaritsis, Konstantinos Vemmos, Patrik Michel Source Type: research

The relationship of spirometric and echocardiographic (ECHO) parameters in children with bronchial asthma (BA)
Background: Currently, the relationship between bronchial obstruction and ECHO parameters in children with BA is not well understood.Aims and Objectives: To identify the relationship of ECHO and spirometric parameters in children with BA.Methods: 60 patients with uncontrolled BA were examined: 73.3% boys, 26.7% girls; mean age 9.48 ± 1.03 years. Children underwent spirometric examination, include forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), maximum expiratory flow at the point of 25%, 50% and 75% loop flow-volume (MEF 25%, 50%, 75%) and transthoracic echocardiography.Results: Patients we...
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Popova, N., Nikitina, L. Y., Egorskaya, A. T., Egorskaya, L. E., Prahov, A. V., Vinogradova, O. V., Soodaeva, S. K., Klimanov, I. A., Glukhova, M. V. Tags: Monitoring airway disease Source Type: research

Platypnea-Orthodeoxia syndrome, a rare case of unexplained hypoxemia
Platypnea-Orthodeoxia syndrome (POS) is a condition of hypoxemia at rest in upright position that resolves on lying down. A 71-year-old OSAS patient, with a previous unexplained temporary amnesia, experienced resting hypoxemia and mild exertional dyspnea, despite normal supine saturation and oximetry during CPAP treatment. Whilst blood gas analysis showed respiratory failure and at transthoracic echocardiogram atrial septal aneurysm without evidence of shunt was detected. Respiratory function tests, chest angio-CT and perfusive-ventilatory lung scan, cardiac stress test and myocardial stress tomography resulted normal. Bas...
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Mazzeo, G., Boccia, M., Allocca, V., Padula, S., Scognamiglio, G., Salvi, R., Mazzarella, G., Bianco, A., Cerqua, F. S. Tags: Clinical problems Source Type: research

Synthesis of systematic reviews of percutaneous device closure of patent foramen Ovale (PFO) for prevention of recurrent cryptogenic stroke: Redundant publications and Methodologic deficiencies
Publication date: Available online 22 October 2020Source: American Heart JournalAuthor(s): Mustafa Husaini, Amir Esmaeeli, Manoj Thangam, Michelle Doering, David L. Brown (Source: American Heart Journal)
Source: American Heart Journal - October 23, 2020 Category: Cardiology Source Type: research

A Nomogram for the Prediction of Cessation of Migraine Among Patients With Patent Foramen Ovale After Percutaneous Closure
Conclusion: The novel nomogram showed favorable predictive accuracy for cessation of migraine among patients with PFO after percutaneous closure and might provide constructive guidance in clinical decision making. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - October 23, 2020 Category: Neurology Source Type: research

Agitated Saline Contrast Echocardiography in the Identification of Intra- and Extracardiac Shunts: Connecting the Dots
Agitated saline contrast studies are an essential component of contemporary echocardiography. Agitated saline contrast plays a critical role in the elucidation of intracardiac versus intrapulmonary shunting and can have major therapeutic implications, particularly in light of the evolution of percutaneous treatment options for atrial septal defects or a patent foramen ovale. Despite their perceived simplicity, however, there are numerous pitfalls of these investigations that can occur during their performance and interpretation. (Source: Journal of the American Society of Echocardiography)
Source: Journal of the American Society of Echocardiography - October 23, 2020 Category: Cardiology Authors: Samuel Bernard, Timothy W. Churchill, Mayooran Namasivayam, Philippe B. Bertrand Source Type: research

Imperforate cor triatriatum dexter with patent foramen ovale and pulmonic stenosis in three dogs: Diagnostic findings and attempted surgical correction
Publication date: Available online 8 October 2020Source: Journal of Veterinary CardiologyAuthor(s): D.P. Schrope, C.A. Carberry, J. Galla (Source: Journal of Veterinary Cardiology)
Source: Journal of Veterinary Cardiology - October 22, 2020 Category: Veterinary Research Source Type: research

Contrast transesophageal three dimensional echocardiographic imaging for patent foramen ovale: a needful role?
We report a case of a 55-year-old male admitted for cardiogenic embolic ischemic stroke work up. A transesophageal (TE) echocardiography (E) with contrast study to rule out patent foramen ovale (PFO) was performed; two-dimensional (2D) analysis did not detect any bubbles passage during Valsalva manoeuvre in the standard 2D cross sectional planes; further real time three-dimensional (3D) TEE imaging revealed passage of bubbles in the left atrium (LA) by both real-time 3DTEE imaging and by the 2D unconventional cross-sectional planes allowed by 3DTEE imaging. Even though 2DTEE is considered to be the gold standard modality f...
Source: Monaldi Archives for Chest Disease - October 21, 2020 Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis Source Type: research

The Heart-Brain Team Approach in Patent Foramen Ovale Closure
(Source: Frontiers in Neurology)
Source: Frontiers in Neurology - October 15, 2020 Category: Neurology Source Type: research

“One-stop shop”: safety and efficacy of combining atrial septal defect occlusion and left atrial appendage closure for patients with atrial septal defect and atrial fibrillation
One-stop occlusion, which is defined as the combination of atrial septal defect [ASD] or patent foramen ovale [PFO] occlusion and left atrial appendage [LAA] closure, in patients with ASD/PFO and atrial fibril... (Source: BMC Cardiovascular Disorders)
Source: BMC Cardiovascular Disorders - October 12, 2020 Category: Cardiology Authors: Zhi-hui Zhang, Qing Yao, Hai-yun Huang, Ping Zhu, Xiang Xu, Zhi-Yuan Song and Hua-kang Li Tags: Research article Source Type: research

Imperforate Cor-triatriatum Dexter with Patent Foramen Ovale and Pulmonic Stenosis in 3 Dogs: Diagnostic Findings and Attempted Surgical Correction
Publication date: Available online 8 October 2020Source: Journal of Veterinary CardiologyAuthor(s): Donald P. Schrope, Carol A. Carberry, Jan Galla (Source: Journal of Veterinary Cardiology)
Source: Journal of Veterinary Cardiology - October 9, 2020 Category: Veterinary Research Source Type: research

Predictive value of free fatty acid levels in embolic stroke of undetermined source: A retrospective observational study
The present study aimed to investigate the predictive value of free fatty acid (FFA) in embolic stroke of undetermined source (ESUS) according to the presence of potential embolic sources (PES) after extensive etiologic evaluation. This was a retrospective observational study based on a single-center registry from January 2011 to July 2017. Stroke subtypes were determined through laboratory findings, brain, and angiographic imaging, carotid ultrasonography, transthoracic echocardiography, and 24-hour Holter monitoring. If ESUS was suspected, transesophageal echocardiography was additionally performed. Patients were classi...
Source: Medicine - October 2, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research