Patent foramen ovale history and symptoms

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Patent Foramen Ovale Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2], Ifeoma Odukwe, M.D. [3], Kristin Feeney, B.S. [4]

Overview

The vast majority of patients with a patent foramen ovale do not have symptoms.

History and Symptoms

  • The majority of patients with patent foramen ovale are asymptomatic. However, an increase in right atrial pressure, in the case of a valsalva maneuver, can result in a right-to-left shunt across the patent foramen ovale allowing the venous circulation to be in direct contact with the arterial circulation. Due to the pathway a patent foramen ovale creates, chemicals or thrombus can travel through resulting in clinical manifestations such as stroke, migraine headache, high altitude pulmonary edema, decompression sickness, and platypnea-orthodeoxia syndrome.[1][2]

References

  1. Kedia G, Tobis J, Lee MS (2008). "Patent foramen ovale: clinical manifestations and treatment". Rev Cardiovasc Med. 9 (3): 168–73. PMID 18953276.
  2. Gafoor, Sameer; Sharma, Rahul; Zhang, Ming; Casterella, Peter; Atianzar, Kimberly (2017). "Update on the Management of Patent Foramen Ovale in 2017: Indication for Closure and Literature Review". US Cardiology Review. 11 (2): 75. doi:10.15420/usc.2017:18:1. ISSN 1758-3896.


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