Patent foramen ovale: Current pathology, pathophysiology, and clinical status

被引:229
作者
Hara, H
Virmani, R
Ladich, E
Mackey-Bojack, S
Titus, J
Reisman, M
Gray, W
Nakamura, M
Mooney, M
Poulose, A
Schwartz, RS [1 ]
机构
[1] Minneapolis Heart Inst & Fdn, Minneapolis, MN USA
[2] Int Registry Pathol, Gaithersburg, MD USA
[3] Jesse E Edwards Registry Cardiovasc Dis, St Paul, MN USA
[4] Swedish Med Ctr, Seattle, WA USA
[5] Toho Univ, Ohashi Hosp, Div Cardiovasc Med, Tokyo, Japan
关键词
D O I
10.1016/j.jacc.2005.08.038
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patent foramen ovale (PFO) is experiencing increased clinical interest as a congenital cardiac lesion persisting into adulthood. It is implicated in several serious clinical syndromes, including stroke, myocardial infarction, and systemic embolism. The PFO is now amenable to percutaneous interventional therapies, and multiple novel technologies are either available or under development for lesion closure. The PFO should be better understood to take advantage of emerging percutaneous treatment options. This paper reviews PFO anatomy, pathology, pathophysiology, and clinical impact and discusses current therapeutic options.
引用
收藏
页码:1768 / 1776
页数:9
相关论文
共 63 条
[31]   Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism [J].
Konstantinides, S ;
Geibel, A ;
Kasper, W ;
Olschewski, M ;
Blümel, L ;
Just, H .
CIRCULATION, 1998, 97 (19) :1946-1951
[32]   Incidence and clinical course of thrombus formation on atrial septal defect and patient foramen ovale closure devices in 1,000 consecutive patients [J].
Krumsdorf, U ;
Ostermayer, S ;
Billinger, K ;
Trepels, T ;
Zadan, E ;
Horvath, K ;
Sievert, H .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (02) :302-309
[33]   Clinical and imaging findings in cryptogenic stroke patients with and without patent foramen ovale - The PFO-ASA study [J].
Lamy, C ;
Giannesini, C ;
Zuber, M ;
Arquizan, C ;
Meder, JF ;
Trystram, D ;
Coste, J ;
Mas, JL .
STROKE, 2002, 33 (03) :706-711
[34]   PREVALENCE OF PATENT FORAMEN OVALE IN PATIENTS WITH STROKE [J].
LECHAT, P ;
MAS, JL ;
LASCAULT, G ;
LORON, P ;
THEARD, M ;
KLIMCZAC, M ;
DROBINSKI, G ;
THOMAS, D ;
GROSGOGEAT, Y .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (18) :1148-1152
[35]   PREVALENCE OF RIGHT-TO-LEFT ATRIAL SHUNTING IN A HEALTHY POPULATION - DETECTION BY VALSALVA MANEUVER CONTRAST ECHOCARDIOGRAPHY [J].
LYNCH, JJ ;
SCHUCHARD, GH ;
GROSS, CM ;
WANN, LS .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (10) :1478-1480
[36]   Atrial septal aneurysm. Morphological characteristics in a large population: Pathological associations. A French multicenter study on 259 patients investigated by transoesophageal echocardiography [J].
Marazanof, M ;
Roudaut, R ;
Cohen, A ;
Tribouilloy, C ;
Malergues, MC ;
Halphen, C ;
Bussiere, JL ;
Schultz, R ;
Marcaggi, X ;
Lardoux, H ;
Bruntz, JF ;
Coisnes, D ;
Brandt, CM ;
Marchal, C ;
Letenneur, L ;
Bonnet, J .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1995, 52 (01) :59-65
[37]   Percutaneous transcatheter closure of patent foramen ovale in patients with paradoxical embolism [J].
Martín, F ;
Sánchez, PL ;
Doherty, E ;
Colon-Hernandez, PJ ;
Delgado, G ;
Inglessis, I ;
Scott, N ;
Hung, J ;
King, MEE ;
Buonanno, F ;
Demirjian, Z ;
de Moor, M ;
Palacios, IF .
CIRCULATION, 2002, 106 (09) :1121-1126
[38]   Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both. [J].
Mas, JL ;
Arquizan, C ;
Lamy, C ;
Zuber, M ;
Cabanes, L ;
Derumeaux, G ;
Coste, J .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (24) :1740-1746
[39]   Platypnea-Orthodeoxia due to Aortic Elongation [J].
Medina, A ;
de Lezo, JS ;
Caballero, E ;
Ortega, JR .
CIRCULATION, 2001, 104 (06) :741-741
[40]   Closure of patent foramen ovale: technique, pitfalls, complications, and follow up [J].
Meier, B .
HEART, 2005, 91 (04) :444-448