An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device
The patent foramen ovale (PFO) usually is a very small potential opening in the atrial septum. Under the conditions of normal hemodynamics with higher left atrial than right atrial pressures, the septum primum is forced against the foramen by the higher left atrial pressure and there is no actual pe...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tehran University of Medical Sciences
2012-10-01
|
Series: | Acta Medica Iranica |
Subjects: | |
Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22712.pdf&manuscript_id=22712 |
_version_ | 1818130664236515328 |
---|---|
author | Mandana Chitsazan Mohammad Namazi Mitra Chitsazan Shokoufeh Hajsadeghi |
author_facet | Mandana Chitsazan Mohammad Namazi Mitra Chitsazan Shokoufeh Hajsadeghi |
author_sort | Mandana Chitsazan |
collection | DOAJ |
description | The patent foramen ovale (PFO) usually is a very small potential opening in the atrial septum. Under the conditions of normal hemodynamics with higher left atrial than right atrial pressures, the septum primum is forced against the foramen by the higher left atrial pressure and there is no actual persistent opening through the foramen. However, with any, even transient, increase in right atrial pressure this flap or "valve" can be pushed away from the septum and forced open. This results in the shunting of blood and anything else in the right atrium from the right atrium to the left atrium. Often the "valve" of the foramen becomes redundant and develops an "aneurysm" of the atrial septum. A large, redundant septum primum can have several additional openings or "fenestrations" in it. The PFO is now can be treated by interventional percutaneous therapy. This case represents a 24-year-old male with an aneurysmal interatrial septum and patent foramen ovale associated with multiple fenestrations. The defects were closed by a single Amplatzer® septal occluder. |
first_indexed | 2024-12-11T08:08:38Z |
format | Article |
id | doaj.art-62fcd17cdfdf4c92a8d065361ed20475 |
institution | Directory Open Access Journal |
issn | 0044-6025 0173-5969 |
language | English |
last_indexed | 2024-12-11T08:08:38Z |
publishDate | 2012-10-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Acta Medica Iranica |
spelling | doaj.art-62fcd17cdfdf4c92a8d065361ed204752022-12-22T01:14:56ZengTehran University of Medical SciencesActa Medica Iranica0044-60250173-59692012-10-015010713716An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder DeviceMandana ChitsazanMohammad NamaziMitra ChitsazanShokoufeh HajsadeghiThe patent foramen ovale (PFO) usually is a very small potential opening in the atrial septum. Under the conditions of normal hemodynamics with higher left atrial than right atrial pressures, the septum primum is forced against the foramen by the higher left atrial pressure and there is no actual persistent opening through the foramen. However, with any, even transient, increase in right atrial pressure this flap or "valve" can be pushed away from the septum and forced open. This results in the shunting of blood and anything else in the right atrium from the right atrium to the left atrium. Often the "valve" of the foramen becomes redundant and develops an "aneurysm" of the atrial septum. A large, redundant septum primum can have several additional openings or "fenestrations" in it. The PFO is now can be treated by interventional percutaneous therapy. This case represents a 24-year-old male with an aneurysmal interatrial septum and patent foramen ovale associated with multiple fenestrations. The defects were closed by a single Amplatzer® septal occluder.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22712.pdf&manuscript_id=22712Patent Foramen OvaleSeptal Occluder |
spellingShingle | Mandana Chitsazan Mohammad Namazi Mitra Chitsazan Shokoufeh Hajsadeghi An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device Acta Medica Iranica Patent Foramen Ovale Septal Occluder |
title | An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device |
title_full | An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device |
title_fullStr | An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device |
title_full_unstemmed | An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device |
title_short | An Aneurysmal Interatrial Septum with a Patent Foramen Ovale and Multiple Fenestrations Closed by A Single Occluder Device |
title_sort | aneurysmal interatrial septum with a patent foramen ovale and multiple fenestrations closed by a single occluder device |
topic | Patent Foramen Ovale Septal Occluder |
url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22712.pdf&manuscript_id=22712 |
work_keys_str_mv | AT mandanachitsazan ananeurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT mohammadnamazi ananeurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT mitrachitsazan ananeurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT shokoufehhajsadeghi ananeurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT mandanachitsazan aneurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT mohammadnamazi aneurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT mitrachitsazan aneurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice AT shokoufehhajsadeghi aneurysmalinteratrialseptumwithapatentforamenovaleandmultiplefenestrationsclosedbyasingleoccluderdevice |