A great war is raging whether a patent foramen ovale (PFO) should be closed after an event suggestive of paradoxical embolism. A smaller war is raging whether echocardiographic intraoperative guidance is necessary. The case report I am commenting on here pertains to both these issues1.
In a 42-year-old woman, a 35 mm Amplatzer PFO Occluder was implanted because of recurrent transient ischaemic attacks under guidance with echocardiography. A large device had been chosen because of an additional atrial septal defect (ASD) seen during either preliminary or intraoperative transoesophageal echocardiography (TOE). The procedure was considered successful. Before discharge mild chest pain ...
Swiss Cardiovascular Center Bern, University Hospital, Bern, Switzerland
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