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Saharan S, Vettukattil J, Bhat A, Amula V, Bansal M, Chowdhury D, Dyamenahalli U, Gupta SK, Das B, Susheel Kumar TK, Muralidaran A, Trivedi K, Swaminathan S, Bansal N, Doshi U, Hoskoppal A, Balaji S. Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature. Ann Pediatr Cardiol 2022; 15:44-52. [PMID: 35847406 PMCID: PMC9280096 DOI: 10.4103/apc.apc_67_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 06/19/2021] [Accepted: 07/16/2021] [Indexed: 11/05/2022] Open
Abstract
A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea-orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.
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Affiliation(s)
- Sunil Saharan
- Department of Pediatrics, Division of Cardiology, Hassenfeld Children's Hospital, New York University Langone Health, New York, NY, USA,Address for correspondence: Dr. Sunil Saharan, Department of Pediatrics, Division of Cardiology, New York University Langone Health, 550 First Avenue, New York, NY 10016, USA. E-mail:
| | - Joseph Vettukattil
- Department of Pediatrics, Division of Cardiology, Helen DeVos Children's Hospital, Grand Rapids, MI, USA
| | - Aarti Bhat
- Department of Pediatrics, Division of Pediatric Cardiology, Seattle Children's Hospital and University of Washington, Seattle, WA, USA
| | - Venu Amula
- Department of Pediatrics, Division of Critical Care, Primary Children's Hospital and University of Utah, Salt Lake City, UT, USA
| | - Manish Bansal
- Department of Pediatrics, Division of Pediatric Cardiology, Baylor College of Medicine, Houston, TX, USA
| | | | - Umesh Dyamenahalli
- Department of Pediatrics, Division of Pediatric Cardiology, University of Chicago, Chicago, IL, USA
| | - Saurabh Kumar Gupta
- Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
| | - Bibhuti Das
- Department of Pediatrics, Division of Pediatric Cardiology, Baylor College of Medicine, Houston, TX, USA
| | - T. K. Susheel Kumar
- Department of Surgery, Section of Congenital and Pediatric Cardiac Surgery, New York University Langone Health, New York, NY, USA
| | - Ashok Muralidaran
- Department of Surgery, Section of Congenital and Pediatric Cardiac Surgery, Oregon Health and Science University, Portland, OR, USA
| | - Kalyani Trivedi
- Department of Pediatrics, Heart and Vascular Institute, Arnot Health, Elmira, New York, USA
| | - Sethuraman Swaminathan
- Department of Pediatrics, Division of Cardiology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Neha Bansal
- Department of Pediatrics, Division of Cardiology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, New York, NY, USA
| | - Unnati Doshi
- Department of Pediatrics, Division of Cardiology, University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Arvind Hoskoppal
- Department of Pediatrics, Division of Cardiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Seshadri Balaji
- Department of Pediatrics, Division of Cardiology, Oregon Health and Science University, Portland, OR, USA
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Fernández Carbonell A, Merino Cejas C, Rodríguez Guerrero E, Inga Tavara LI, Conejero Jurado MT, Muñoz Carvajal I. Comunicación interauricular y drenaje venoso anómalo parcial con sospecha de síndrome de Eisenmenger corregido con la técnica de Warden y parche de Dacron valvulado. CIRUGIA CARDIOVASCULAR 2019. [DOI: 10.1016/j.circv.2019.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Myers PO, Lador F, Beghetti M. eComment: How to define operability in pulmonary hypertension secondary to congenital heart disease? Interact Cardiovasc Thorac Surg 2016; 22:859. [PMID: 27231252 DOI: 10.1093/icvts/ivw131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Patrick O Myers
- Pulmonary Hypertension Program, Cardiovascular Surgery, Pulmonology and Pediatric Cardiology, Geneva
| | - Frederic Lador
- Pulmonary Hypertension Program, Cardiovascular Surgery, Pulmonology and Pediatric Cardiology, Geneva
| | - Maurice Beghetti
- Pulmonary Hypertension Program, Cardiovascular Surgery, Pulmonology and Pediatric Cardiology, Geneva
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Oztas DM, Canbay C, Beyaz MO, Ugurlucan M. eComment. Atrial septal defect closure with a composite check-valved patch in pulmonary hypertensive patients. Interact Cardiovasc Thorac Surg 2016; 22:858. [PMID: 27231250 DOI: 10.1093/icvts/ivw108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Didem M Oztas
- Department of Cardiovascular Surgery, Istanbul University, Istanbul, Turkey
| | - Cagla Canbay
- Department of Cardiovascular Surgery, Istanbul University, Istanbul, Turkey
| | - Metin O Beyaz
- Department of Cardiovascular Surgery, Istanbul University, Istanbul, Turkey
| | - Murat Ugurlucan
- Department of Cardiovascular Surgery, Istanbul University, Istanbul, Turkey
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