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Surgical closure during heart surgery - A cardiac surgeon can stitch shut the PFO hole. This surgical heart procedure can be accomplished with a tiny incision and robotic techniques.
Your healthcare provider may also repair the PFO by transcatheter repair or heart surgery. A transcatheter repair is less invasive than a surgical repair.
A healthcare provider may recommend a PFO closure procedure if: You've had a transient ischemic attack (TIA) more than once. You've had cryptogenic (from an unknown cause) strokes more than once. You have a low level of oxygen in your blood.
If you were born with a hole in your heart that never closed, known as a patent foramen ovale (PFO), you may need a procedure to correct it. Penn Medicine cardiologists use interventional techniques to close a patent foramen ovale without opening your chest for surgery.
Procedures to close a patent foramen ovale include: Device closure. In this procedure, the provider inserts a thin, flexible tube called a catheter into a blood vessel in the groin area. The catheter tip has a device to plug the PFO . Surgical closure. In this heart surgery, the surgeon uses stitches to close the PFO .
Treatment most often requires a procedure called cardiac catheterization, which is performed by a trained cardiologist to permanently seal the PFO.
Aspirin will be prescribed for 6 months following your procedure to prevent blood clots from forming on your device. Clopidrogrel (Plavix) may also be prescribed for 3 months after your procedure to prevent blood clots from forming on your device.
After an interventional PFO closure, dual antiplatelet therpapy is recommended with 100 mg aspirin plus 75 mg clopidogrel for 1–3 months, followed by 12–24 months of monotherapy with 100 mg aspirin or 75 mg clopidogrel.
Procedures to close a patent foramen ovale include: Device closure. In this procedure, the provider inserts a thin, flexible tube called a catheter into a blood vessel in the groin area. The catheter tip has a device to plug the PFO . Surgical closure. In this heart surgery, the surgeon uses stitches to close the PFO .
Most people with patent foramen ovale won't need treatment. But your provider may recommend treatment if you have a history or high risk of strokes or blood clots. Treatments for PFC include: Medication to prevent blood clots, such as aspirin or warfarin.