Patent foramen ovale closure in children without cardiopathy: Child-PFO study

Archives of Cardiovascular Diseases
Noelie MitonClaire Dauphin

Abstract

Closure of patent foramen ovale is well-managed in adults, but is performed less frequently in children. To analyse all patent foramen ovale closures performed in the past 20 years in French paediatric centres. Retrospective study of patent foramen ovale closures in children without cardiopathy in nine centres between 2000 and 2019. Forty-one procedures were carried out in children (median age: 14.9 years). Thirty-one patent foramen ovales were closed after a transient ischaemic attack or stroke, six for a left-to-right shunt and four for other reasons. Transthoracic echocardiography was used for 72.2% of the diagnoses and transoesophageal echocardiography for 27.8%. A substantial degree of shunting was found in 42.9% of patients and an atrial septal aneurysm in 56.2%. General anaesthesia with transoesophageal echocardiography guidance was performed in 68.3% of the procedures; local anaesthesia and transthoracic echocardiography or intracardiac echocardiography was performed in 31.7%. The success rate was 100%. The median fluoroscopy time was 4.14minutes: 3.55minutes with transoesophageal echocardiography; and 4.38minutes with transthoracic echocardiography (P=0.67). There was only one periprocedural complication (2.4%). Postop...Continue Reading

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