2004, Number s2
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Arch Cardiol Mex 2004; 74 (s2)
Patent foramen ovale: problem definition and its treatment
Zabal CC
Language: Spanish
References: 19
Page: 437-441
PDF size: 198.83 Kb.
ABSTRACT
Patent foramen ovale has been related to a series of diseases, the main among them being cerebrovascular disease, that have paradoxical embolism as a common cause. The main problem is the risk of recurrence that, in some cases, has been reported to be 33 times higher than in cases without patent foramen ovale. Treatment is still controversial among three modalities, medical treatment with platelet inhibitors and oral anticoagulation, surgery, and percutaneous closure with devices. We analyze the most recent studies on this field.
REFERENCES
Lechat P, Mas JL, Lascault G, Loron P, Theard M, Klimczac M, Drobinski G, Thomas D, Grosgogeat Y: Prevalence of patent foramen ovale in patients with stroke. N Engl J Med 1988; 318: 1148–1152.
Hagen PT, Scholz DG, Edwards WD: Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984; 59: 17-20.
Louie EK, Konstadt SN, Rao TL, Scanlon PJ: Transesophageal echocardiographic diagnosis of right to left shunting across the foramen ovale in adults without prior stroke. J Am Coll Cardiol 1993; 21: 1231-1237.
Wilmshurst PT, Nightingale S, Walsh KP, Morrison WL: Effect on migraine of closure of cardiac right-to-left shunts to prevent recurrence of decompression illness or stroke or for haemodynamic reasons. Lancet 2000; 356: 1648-1651.
Di Tullio M, Sacco RL, Gopal A, Mohr JP, Homma S: Patent foramen ovale as a risk factor for cryptogenic stroke. Ann Intern Med 1992; 117: 461-465.
Vuadens P, Bogousslavsky J: Diagnosis as a guide to stroke therapy. Lancet 1998; 352 Suppl 3: SIII5-9.
Di Tullio M, Sacco RL, Venketasubramanian N, Sherman D, Mohr JP, Homma S: Comparison of diagnostic techniques for the detection of a patent foramen ovale in stroke patients. Stroke 1993; 24: 1020-1024.
Cabanes L, Mas JL, Cohen A, Amarenco P, Cabanes PA, Oubary P, Chedru F, Guerin F, Bousser MG, de Recondo J: Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. A study using transesophageal echocardiography. Stroke 1993; 24: 1865-1873.
Mas JL, Arquizan C, Lamy C, Zuber M, Cabanes L, Derumeaux G, Coste J, for the Patent Foramen Ovale and Atrial Septal Aneurysm Study Group: Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both. N Engl J Med 2001; 345: 1740–1746.
Overell JR, Bone I, Lees KR: Interatrial septal abnormalities and stroke: a meta-analysis of case-control studies. Neurology 2000; 55: 1172-1179.
Homma S, Sacco RL, Di Tullio MR, Sciacca RR, Mohr JP, for the PFO in Cryptogenic Stroke Study (PICSS) Investigators: Effect of Medical Treatment in Stroke Patients With Patent Foramen Ovale. Patent Foramen Ovale in Cryptogenic Stroke Study. Circulation 2002; 105: 2625-2631.
Ruchat P, Bogousslavsky J, Hurni M, Fischer AP, Jeanrenaud X, von Segesser LK: Systematic closure of patent foramen ovale in selected patients with arteriovascular events due to paradoxical embolism. Ev J Cardiothoracic Surg 1997; 11: 824–827.
Dearani JA, Ugurlu BS, Danielson GK, Daly RC, McGregor CGA, Mullany CJ, Puga FJ, Orszulak TA, Anderson BJ, Brown RD Jr, Schaff HV: Surgical patent foramen ovale closure for prevention of paradoxical embolism-related cerebrovascular ischemic event. Circulation 1999; 100 (suppl II): II-171–II-175.
Windecker S, Wahl A, Chatterjee T, Garachemani A, Eberli FR, Seiler C, Meier B: Percutaneous Closure of Patent Foramen Ovale in Patients With Paradoxical Embolism. Long-Term Risk of Recurrent Thromboembolic Events. Circulation 2000; 101: 893-898.
Martin F, Sanchez PL, Doherty E, Colon-Hernandez PJ, Delgado G, Inglessis I, Scott N, Hung J, King ME, Buonanno F, Demirjian Z, de Moor M, Palacios IF: Percutaneous transcatheter closure of patent foramen ovale in patients with paradoxical embolism. Circulation 2002; 106: 1121–1126.
Braun MU, Fassbender D, Schoen SP, Haass M, Schraeder R, Scholtz W, Strasser RH: Transcatheter closure of patent foramen ovale in patients with cerebral ischemia. J Am Coll Cardiol 2002; 39: 2019-2025.
Bruch L, Parsi A, Grad MO, Rux S, Burmeister T, Krebs H, Kleber FX: Transcatheter Closure of Interatrial Communications for Secondary Prevention of Paradoxical Embolism. Single-Center Experience. Circulation 2002; 105: 2845-2848.
Onorato E, Melzi G, Casilli F, Pedon L, Rigatelli G, Carrozza A, Maiolino P, Zanchetta M, Morandi E, Angeli S, Anzola GP: Patent foramen ovale with paradoxical embolism: mid-term results of transcatheter closure in 256 patients. J Interv Cardiol 2003; 16: 43-50.
Zabal C, Chio F, Amplatz K, Martinez Rios MA: Cierre Percutáneo de Comunicación Interatrial con el dispositivo Amplatzer. Primer caso en México. Arch Inst Cardiol Mex 1998; 68: 147-152.