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People with symptomatic or large PFOs may benefit from a procedure to close the hole. Specialists in our Interventional Cardiology Program use a long, flexible tube (catheter) to insert a closure device in the hole. This device closes the PFO and prevents blood flow between the left and right atria.
This condition is not treated unless there are other heart problems, symptoms, or if the person had a stroke caused by a blood clot to the brain. Treatment most often requires a procedure called cardiac catheterization, which is performed by a trained cardiologist to permanently seal the PFO.
A bubble study is a noninvasive test that lets healthcare providers look at the flow of blood through the heart. It is done as part of a medical imaging study called an echocardiogram (echo) that shows the heart's structure. A bubble study is also known as an agitated saline contrast study.
A patent foramen ovale may be difficult to confirm on a standard echocardiogram. Your provider may recommend this test to get a closer look at the heart. A transesophageal echocardiogram takes pictures of the heart from inside the body. It's considered the most accurate way to diagnose a patent foramen ovale.
Your healthcare provider may want to treat your PFO if you have had problems from these traveling blood clots, such as a stroke. Options include: Antiplatelet medicines such as aspirin to help prevent blood clots. Anticoagulant medicines such as warfarin to help prevent blood clots.