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...

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Main Authors: Mandana Chitsazan, Mohammad Namazi, Mitra Chitsazan, Shokoufeh Hajsadeghi
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
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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.
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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
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