Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature

A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical synd...

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Main Authors: Sunil Saharan, Joseph Vettukattil, Aarti Bhat, Venu Amula, Manish Bansal, Devyani Chowdhury, Umesh Dyamenahalli, Saurabh Kumar Gupta, Bibhuti Das, T K Susheel Kumar, Ashok Muralidaran, Kalyani Trivedi, Sethuraman Swaminathan, Neha Bansal, Unnati Doshi, Arvind Hoskoppal, Seshadri Balaji
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=1;spage=44;epage=52;aulast=Saharan
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author Sunil Saharan
Joseph Vettukattil
Aarti Bhat
Venu Amula
Manish Bansal
Devyani Chowdhury
Umesh Dyamenahalli
Saurabh Kumar Gupta
Bibhuti Das
T K Susheel Kumar
Ashok Muralidaran
Kalyani Trivedi
Sethuraman Swaminathan
Neha Bansal
Unnati Doshi
Arvind Hoskoppal
Seshadri Balaji
author_facet Sunil Saharan
Joseph Vettukattil
Aarti Bhat
Venu Amula
Manish Bansal
Devyani Chowdhury
Umesh Dyamenahalli
Saurabh Kumar Gupta
Bibhuti Das
T K Susheel Kumar
Ashok Muralidaran
Kalyani Trivedi
Sethuraman Swaminathan
Neha Bansal
Unnati Doshi
Arvind Hoskoppal
Seshadri Balaji
author_sort Sunil Saharan
collection DOAJ
description A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea–orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.
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spelling doaj.art-673655b7f63b442d9afa5010bbd89bd72022-12-22T00:42:44ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692022-01-01151445210.4103/apc.apc_67_21Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literatureSunil SaharanJoseph VettukattilAarti BhatVenu AmulaManish BansalDevyani ChowdhuryUmesh DyamenahalliSaurabh Kumar GuptaBibhuti DasT K Susheel KumarAshok MuralidaranKalyani TrivediSethuraman SwaminathanNeha BansalUnnati DoshiArvind HoskoppalSeshadri BalajiA patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea–orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=1;spage=44;epage=52;aulast=Saharanchildrendecompression sicknessmanagementmigrainepatent foramen ovaleplatypnea–orthodeoxia syndromestroke
spellingShingle Sunil Saharan
Joseph Vettukattil
Aarti Bhat
Venu Amula
Manish Bansal
Devyani Chowdhury
Umesh Dyamenahalli
Saurabh Kumar Gupta
Bibhuti Das
T K Susheel Kumar
Ashok Muralidaran
Kalyani Trivedi
Sethuraman Swaminathan
Neha Bansal
Unnati Doshi
Arvind Hoskoppal
Seshadri Balaji
Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature
Annals of Pediatric Cardiology
children
decompression sickness
management
migraine
patent foramen ovale
platypnea–orthodeoxia syndrome
stroke
title Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature
title_full Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature
title_fullStr Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature
title_full_unstemmed Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature
title_short Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature
title_sort patent foramen ovale in children unique pediatric challenges and lessons learned from adult literature
topic children
decompression sickness
management
migraine
patent foramen ovale
platypnea–orthodeoxia syndrome
stroke
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=1;spage=44;epage=52;aulast=Saharan
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