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Searching for patent foramen ovale in a 44-year-old female patient after ischemic stroke - diagnostic problems.
We present the case of a 44-year-old female patient after ischemic stroke, in whom PFO was not detected by echocardiography; the defect was ultimately diagnosed by right heart catheterization. PMID: 27516797 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - August 16, 2016 Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research

Patent foramen ovale: indications for closure and techniques.
Authors: Taramasso M, Nietlispach F, Maisano F, Meier B Abstract Non-surgical closure of the patent foramen ovale (PFO) has been possible for 40 years and proved safe in probably a million cases performed worldwide. Nonetheless, indications are still restricted as only a few are supported by randomised data. Paradoxical embolism through a PFO causes stroke, myocardial infarction, and visceral or peripheral ischaemia. The PFO is a likely mediator of migraine, diving or high altitude sickness, dyspnoea, and sleep apnoea problems. As untoward effects of a PFO are rare and spaced widely timewise, large cohorts and long...
Source: EuroIntervention - May 15, 2016 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Long ‐term follow‐up after PFO device closure
ConclusionsDevice closure of PFO can be performed safely with very good long‐term resolution of atrial shunting. Recurrent neurologic events after PFO closure may reflect additional comorbid risk factors unrelated to the potential for paradoxical embolism. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - March 28, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nathaniel W. Taggart, Guy S. Reeder, Ryan J. Lennon, Joshua P. Slusser, Monique A. Freund, Allison K. Cabalka, Frank Cetta, Donald J. Hagler Tags: Valvular and Structural Heart Diseases Source Type: research

Long‐term follow‐up after PFO device closure
ConclusionsDevice closure of PFO can be performed safely with very good long‐term resolution of atrial shunting. Recurrent neurologic events after PFO closure may reflect additional comorbid risk factors unrelated to the potential for paradoxical embolism. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - March 28, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nathaniel W. Taggart, Guy S. Reeder, Ryan J. Lennon, Joshua P. Slusser, Monique A. Freund, Allison K. Cabalka, Frank Cetta, Donald J. Hagler Tags: Valvular and Structural Heart Diseases Source Type: research

Cryptogenic Stroke with a Patent Foramen Ovale:
ABSTRACT More than one third of ischemic strokes have an unidentifiable cause. Patent foramen ovale (PFO) plays a controversial role in this subset of patients. The evidence for and against the hypothesis of paradoxical embolism is reviewed and we discuss the optimal management of a PFO under different circumstances.
Source: Journal of Cardiac Surgery - January 19, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kareem Bedeir, John Volpi, Basel Ramlawi Tags: Review Article Source Type: research

Innominate artery cannulation for proximal aortic surgery: outcomes and neurological events in 263 patients AORTIC SURGERY
CONCLUSIONS Innominate artery cannulation can be performed safely and poses a low risk of neurological events in procedures requiring hypothermic circulatory arrest. The technique for cannulating this artery should be part of the routine armamentarium of cardiac and aortic surgeons, and the innominate artery is among the preferred perfusion sites for delivering ACP.
Source: European Journal of Cardio-Thoracic Surgery - November 17, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Preventza, O., Garcia, A., Tuluca, A., Henry, M., Cooley, D. A., Simpson, K., Bakaeen, F. G., Cornwell, L. D., Omer, S., Coselli, J. S. Tags: Pericardium AORTIC SURGERY Source Type: research

Patent foramen ovale closure following cryptogenic stroke or transient ischaemic attack: Long‐term follow‐up of 301 cases
Patent foramen ovale has been identified as a conduit for paradoxical embolism resulting in cryptogenic stroke or transient ischemic attack (TIA). We aimed to establish rates of death, recurrent stroke or TIA among patients undergoing PFO closure for stroke or TIA at our unit. A retrospective analysis of all PFO closure patients was performed between May 2004 and January 2013. Follow up was performed by mortality tracing using the Medical Research Information Service of the Office of National Statistics. With regard to stroke or TIA recurrence, written consent forms and questionnaires were mailed with follow up telephone c...
Source: Catheterization and Cardiovascular Interventions - June 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mikaeil Mirzaali, Maureen Dooley, Dylan Wynne, Nina Cooter, Lorraine Lee, Peter Haworth, Romi Saha, Nicola Gainsborough, David Hildick‐Smith Tags: Valvular and Structural Heart Diseases Source Type: research

Initial experience with the novel patent foramen ovale occlusion device Nit‐Occlud® in patients with stroke or transient ischemic attack
ConclusionIn patients with cryptogenic stroke or TIA and a PFO, the Nit‐Occlud® PFO Occlusion Device appears to be both a safe and effective means to occlude the PFO. It is associated with high procedural success and favorable rates of complete closure. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - April 2, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Daniel H. Steinberg, Stefan C. Bertog, Julia Momberger, Jennifer Franke, Ilona Hofmann, Kristina Renkhoff, Sonya Joy, Laura Vaskelyte, Horst Sievert Tags: Valvular and Structural Heart Diseases Source Type: research

PFO closure with only fluoroscopic guidance: 7 years real‐world single centre experience
ConclusionsIn our experience Fluoro‐G PFO closure was performed mainly in cases of simple anatomy, with similar results in terms of safety and efficacy compared to Echo‐G cases. Both fluoroscopy and total procedural times were lower in the Fluo‐G cases. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - March 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Antonio Mangieri, Cosmo Godino, Matteo Montorfano, Francesco Arioli, Isabella Rosa, Silvia Ajello, Daniela Piraino, Alberto Monello, Anna Giulia Pavon, Giacomo Viani, Valeria Magni, Alberto Cappelletti, Alberto Margonato, Antonio Colombo Tags: Pediatric and Congenital Heart Disease Source Type: research

Efficacy of different devices for transcatheter closure of patent foramen ovale assessed by serial transoesophageal echocardiography and rates of recurrent cerebrovascular events in a long-term follow-up.
Conclusions: Closure at three or 12 months (as measured by cTEE) and rates of recurrent cerebrovascular events were similar among occluder groups. PFO diameter was a risk factor for residual shunting, but not the presence of ASA. The rate of recurrent cerebral ischaemic events was low. PMID: 25572024 [PubMed - as supplied by publisher]
Source: EuroIntervention - January 15, 2015 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Reply to the letter to the editor: the case for duplicate meta-analyses of patent foramen ovale closure in patients with cryptogenic stroke: more a ripple than a tsunami.
Authors: Capodanno D PMID: 25539011 [PubMed - in process]
Source: EuroIntervention - January 3, 2015 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

The Flatstent versus the conventional umbrella devices in the percutaneous closure of patent foramen ovale
Conclusion: No difference was found in closure or complication rates between the Flatstent and the umbrella devices. With appropriate pre‐assessment of the PFO anatomy, the Flatstent works as a safe and effective method of treating the PFO from within the tunnel, especially in those with long tunnel PFOs. Longer follow up is needed to establish superiority. This article is protected by copyright. All rights reserved.
Source: Catheterization and Cardiovascular Interventions - November 20, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Mert Aral, Michael Mullen Tags: Original Studies Source Type: research

PFO closure with only fluoroscopic guidance: 7 years real world single centre experience
Conclusions. In our experience Fluoro‐G PFO closure was performed mainly in cases of simple anatomy, with similar results in terms of safety and efficacy compared to Echo‐G cases. Both fluoroscopy and total procedural times were lower in the Fluo‐G cases. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 8, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Antonio Mangieri, Cosmo Godino, Matteo Montorfano, Francesco Arioli, Isabella Rosa, Silvia Ajello, Daniela Piraino, Alberto Monello, Anna Giulia Pavon, Giacomo Viani, Valeria Magni, Alberto Cappelletti, Alberto Margonato, Antonio Colombo Tags: Original Studies Source Type: research

Transseptal puncture to facilitate device closure of “long‐tunnel” patent foramen ovale
Conclusion Though not without risk, transseptal puncture can be a valuable tool for facilitating device closure of long‐tunnel type PFOs. GORE® HELEX® Septal Occluder may be an effective option for facilitating device closure for patients with long‐tunnel type PFO. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 7, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Alex J. Thompson, Donald J. Hagler, Nathaniel W. Taggart Tags: Original Studies Source Type: research

089 * innominate artery cannulation for proximal aortic surgery: outcomes and neurologic events in 263 patients
Conclusion: Innominate artery cannulation can be performed safely and poses a low risk of neurologic events in procedures requiring hypothermic circulatory arrest. This artery may be considered the optimal perfusion site for delivering ACP.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Preventza, O., Garcia, A., Tuluca, A., Henry, M., Bakaeen, F., Omer, S., Cornwell, L., Coselli, J. S. Tags: Part II: Cannulation issues in aortic surgery: Doing things right or doing the right things Source Type: research

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