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For those patients who need or want to avoid PFO, the panel judged anticoagulation the best alternative, although the evidence regarding stroke reduction was of low certainty. The risk of major bleeding probably increased with anticoagulation.
Your Recovery The procedure can help prevent a stroke in some people. Your doctor used a thin, flexible tube called a catheter to place a small device that closes the PFO. After the procedure, you may stay the night in the hospital. Or you may go home the same day.
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.
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.
Some researchers say a PFO closure doesn't reduce your stroke risk much more than medication. But others have found that having a catheter-based procedure for PFO closure and taking blood-thinning drugs like aspirin gives people a lower rate of stroke than people who received only aspirin.
What is the outlook if I have patent foramen ovale? Many children with PFO find the flap seals completely on its own during their first three years. Many people who still have PFO as adults lead long, full lives.
Most PFOs don't need to be closed. Most PFOs cause no symptoms or complications. Larger PFOs may cause stroke. People with symptomatic or large PFOs may benefit from a procedure to close the hole.
Patients who undergo PFO & ASD closure often experience improved energy levels, reduced fatigue, and an overall enhanced quality of life.
PFO can occasionally result in complications. The most serious of these is stroke. Most people will not need treatment for a PFO. Some people receive treatment for PFO, especially if they have had a stroke due to a PFO.
In some cases, your healthcare provider may still choose not to treat the PFO. Other options include: Antiplatelet medicines such as aspirin, to help prevent blood clots. Anticoagulant medicines such as warfarin, to help prevent blood clots.