Should we consider patent foramen ovale and secundum atrial septal defect as different steps of a single anatomo-clinical continuum?
نویسنده
چکیده
Isolated atrial septal defects (ASD) represent 7% of all cardiac anomalies and can present at any age. Adolescents and adults with simple congenital heart disease such as isolated atrial septal defects are more likely to reach adult age without being diagnosed. Secundum ASD (sASD) is by far the most common type, occurring in 1/1500 live births, with 65% to 75% involving females. On the other hand, patent foramen ovale (PFO) represents an endemic variant in the normal population with a prevalence of 25%–27%. These two entities appear so different that is difficult to find a conjunction ring: nevertheless we use the same philosophy for the treatment. Indeed, device–based closure has been proved to be effective in both settings.
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Atrial septal anomalies suggested to play important role in enhancing tendency to induce cerebral embolic events. This study was undertaken to find the frequency of atrial septal anomalies including Patent Foramen Ovale, Atrial Septal Aneurysm and Atrial Septal Defect in patients with etiologically unknown stroke categorized as cryptogenic.Materials and Methods: 32 patients were studied by tran...
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Transcatheter closure of secundum atrial septal defect (ASD) and patent foramen ovale (PFO) is now widely accepted as an alternative to surgical closure. With currently available devices and techniques, approximately 80-90% of secundum ASDs and all PFOs can be closed percutaneously. While many devices are available, the use of any particular device is dictated largely by individual defect anato...
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Secundum Atrial septal defect (ASD) and Patent foramen ovale (PFO) is becoming the most popular field of interest for catheter-based interventions. While there is a common agreement about the management of ASD patients, there is no complete agreement on which is the best management of PFO patients. In PFO patients, the real challenge for the clinician, beside secondary prevention of recurrent s...
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Transcatheter closure of large secundum atrial septal defects is now accepted clinical practice. With the introduction of easily applicable closure devices the indications for this procedure have been expanded to include the closure of patent foramen ovale after cerebral stroke of unknown origin. In some of these patients a persistent eustachian valve is present. The clinical relevance of this ...
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