Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-11-26
pubmed:abstractText
A patent foramen ovale is almost physiological (15% of the population) but can be associated with some pathological situations in which its closure can be considered. The only medical indication currently accepted is a right-left shunt without elevation of the right pulmonary pressure, whose most famous pattern is the rare platypnea-orthodeoxie syndrome. PFO may be responsible for diving decompression accidents. Before taking the decision of closing a PFO, each situation must be discussed on a case to case basis. In spite of the possible link between some kinds of migraine and PFO, according to current knowledge, there is no evidence of the efficiency of PFO closure in this situation. The secondary prevention of a cryptogenic ischaemic cerebrovascular attack on a young person with a PFO associated to a membranous septum aneurysm, is the most commonly considered indication, but we lack valid data for this indication. The PFO closing procedure is well codified and its success rate is close to 100%, with rare major complications. Residual permeability within the prosthesis ensuring the closure of the PFO decreases gradually to get under 15% after six months. The clinical result is often dramatic when treating right-left shunts. As far as the secondary prevention of cryptogenic ischaemic cerebro vascular attacks in young people is concerned, there might be some clinical benefit, but we are waiting for the results of ongoing randomized and scheduled studies.
pubmed:commentsCorrections
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0003-3928
pubmed:author
pubmed:issnType
Print
pubmed:volume
56
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
275-82
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed-meshheading:17961493-Anoxia, pubmed-meshheading:17961493-Brain Ischemia, pubmed-meshheading:17961493-Decompression Sickness, pubmed-meshheading:17961493-Echocardiography, pubmed-meshheading:17961493-Feasibility Studies, pubmed-meshheading:17961493-Follow-Up Studies, pubmed-meshheading:17961493-Foramen Ovale, Patent, pubmed-meshheading:17961493-Heart Catheterization, pubmed-meshheading:17961493-Heart Septum, pubmed-meshheading:17961493-Humans, pubmed-meshheading:17961493-Hypertension, Pulmonary, pubmed-meshheading:17961493-Migraine Disorders, pubmed-meshheading:17961493-Patient Care Planning, pubmed-meshheading:17961493-Postoperative Complications, pubmed-meshheading:17961493-Prosthesis Design, pubmed-meshheading:17961493-Prosthesis Implantation, pubmed-meshheading:17961493-Stroke, pubmed-meshheading:17961493-Treatment Outcome, pubmed-meshheading:17961493-Ultrasonography, Interventional
pubmed:year
2007
pubmed:articleTitle
[Patent foramen ovale percutaneous closure: indications, techniques and results].
pubmed:affiliation
Service de cardiologie, centre hospitalier Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France. pcaubry@yahoo.fr
pubmed:publicationType
Journal Article, English Abstract