How is a patent foramen ovale managed?

Question

Hello doctor,

I recently experienced severe chest pains. My blood tests were all normal, but the heart ultrasound indicated a 3 mm patent foramen ovale. I would like to know if treatment is necessary.

Please suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

A small PFO (patent foramen ovale) is usually asymptomatic, but it can cause a stroke or pulmonary embolism if a thrombus travels across it from right to left or left to right, respectively. Additionally, your report mentions a 12 mm aneurysm, which requires consideration. I would recommend a transesophageal echocardiogram to study it in detail. Typically, a PFO is closed with a device, but an aneurysm may require surgery. Therefore, I advise you to undergo a transesophageal echo, after which the treatment plan can be determined.

I hope this helps you.

Thank you.