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Percutaneous transcatheter closure of high-risk patent foramen ovale in the elderly
AbstractThe efficacy of percutaneous transcatheter closure for preventing recurrent cerebrovascular events in elderly patients with high-risk patent foramen ovale (PFO) remains unclear, whereas in young patients, it has been shown to effectively prevent the recurrence of embolic stroke. The aim of this study was to investigate the safety and efficacy of percutaneous PFO closure in elderly patients with high-risk PFO. Between September 2012 and October 2018, 14 patients 60  years old with high-risk PFO underwent percutaneous closure to prevent recurrence of cerebrovascular events. The primary end point was recurrence of ce...
Source: Heart and Vessels - March 12, 2019 Category: Cardiology Source Type: research

Patent Foramen Ovale and Risk of Cryptogenic Stroke – Analysis of Outcomes and Perioperative Implications
PATENT FORAMEN OVALE (PFO) is the most common congenital defect of the atrial septum, with reported incidences ranging between 27% and 34% in autopsy studies.1 During embryonic life, the PFO is a physiological discontinuity of the septum secundum that allows the oxygenated placental blood to bypass the non-functional lungs of the fetus. There are 2 overlapping components of the developing atrial septum. On the right, the septum secundum stems from an infolding of the atrial walls and contains a posteroinferior oval-shaped opening, the foramen ovale.
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 14, 2019 Category: Anesthesiology Authors: Pablo Michel, Pedro A. Villablanca, Sagar Ranka, Alejandro Lemor, Tarun Jain, Harish Ramakrishna Tags: Expert Review Source Type: research

PFO! Should I Stay, or Should I Go?
IN THIS issue of the Journal of Cardiothoracic and Vascular Anesthesia, Villablanca et al. evaluated whether the presence and diagnosis of a patent foramen ovale (PFO) or atrial septal defect (ASD) preoperatively was associated with an increase in perioperative stroke for patients undergoing noncardiac surgery.1 The authors used “big data” to describe the largest study to date of 19,659,191 hospitalizations retrieved from the Healthcare Cost and Utilization Project's National Readmission Database.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 20, 2020 Category: Anesthesiology Authors: Yvonne Lai, Adam A. Dalia Tags: Editorial Source Type: research

Left Atrial Myxoma Presenting as Cerebral Infarct
ACUTE embolic cerebral stroke is a major health setback for any individual, with increased mortality and morbidity. Embolus arising from cardiac chambers constitutes about 20% of ischemic strokes. Atrial fibrillation is the root cause of more than 50% of cardiogenic emboli, whereas congenital heart diseases, such as atrial septal defect, patent foramen ovale, prosthetic heart valves, rheumatic heart valvular disease, dilated cardiomyopathy, and endocarditis are predisposing factors for cardiogenic emboli.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 5, 2020 Category: Anesthesiology Authors: Hemant Digambar Waikar, Aylliath Gosalakkal Jayakrishnan, Bodiabaduge Senaka Nimalakeerthi Bandusena, Prakash Priyadarshan, Peter Parthepan Kamalaneson, Abhaya Ileperuma, Praveen Kumar Neema, Richa Dhawan, Mark A. Chaney Tags: Case Conference Source Type: research

Comparison of Intracardiac Echocardiography and Transesophageal Echocardiography for Image Guidance in Percutaneous Patent Foramen Ovale Closure.
Conclusions: ICE-guided PFO device closure is quicker and less hazardous in terms of radiation exposure than the TEE-guided procedure, with similar procedural outcomes and duration of hospital stay. PMID: 32784843 [PubMed - in process]
Source: Medicina (Kaunas) - August 8, 2020 Category: Universities & Medical Training Authors: Moon J, Park Y, Park SJ, Oh PC, Jang AY, Chung WJ, Kang WC Tags: Medicina (Kaunas) Source Type: research

Left Atrial Myxoma Presenting as Cerebral Embolism
ACUTE embolic cerebral stroke is a major health setback for any individual, with increased mortality and morbidity. Embolus arising from cardiac chambers constitutes about 20% of ischemic strokes. Atrial fibrillation is the root cause of more than 50% of cardiogenic emboli, whereas congenital heart diseases, such as atrial septal defect, patent foramen ovale, prosthetic heart valves, rheumatic heart valvular disease, dilated cardiomyopathy, and endocarditis are predisposing factors for cardiogenic emboli.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 5, 2020 Category: Anesthesiology Authors: Hemant Digambar Waikar, Aylliath Gosalakkal Jayakrishnan, Bodiabaduge Senaka Nimalakeerthi Bandusena, Prakash Priyadarshan, Peter Parthepan Kamalaneson, Abhaya Ileperuma, Praveen Kumar Neema, Richa Dhawan, Mark A. Chaney Tags: Case Conference 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 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 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

Thrombus in transit across a patent foramen ovale in a patient with cerebrovascular accidents, pulmonary embolism, and deep vein thrombosis
We present the case of a 42-year-old woman admitted to the hospital with a third stroke. The presence of a thrombus in transit through a patent foramen ovale (PFO), a deep vein thrombosis (DVT), bilateral pulmonary emboli, and an acute cerebral infarct were concurrently documented.PMID:34269269 | DOI:10.4103/aca.ACA_120_19
Source: Annals of Cardiac Anaesthesia - July 16, 2021 Category: Anesthesiology Authors: Israel Galtes Nicholas Suraci Saberio Lo Presti Orlando Santana Source Type: research

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