Related Experiment Video

Updated: Mar 30, 2026

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
10:52

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence

Published on: December 23, 2022

6.9K

[Perioperative Challenges and Strategies for Patent Foramen Ovale Patients Undergoing Non-cardiac Surgery]

Tian Wang1, Bin Zhu

  • 1Department of Extracorporeal Circulation,Fuwai Cardiovascular Hospital,CAMS and PUMC,Beijing 100037,China2Department of Anesthesiology,Hospital of Chinese Traditional and Western Medicine,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China.

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
|November 14, 2015
PubMed

Insights

Patent foramen ovale (PFO) poses risks during surgery, including paradoxical embolism and hypoxemia. This review covers PFO epidemiology, detection, and perioperative strategies for prevention and management.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Neurology

Background:

  • Patent foramen ovale (PFO) is linked to cryptogenic stroke and migraine.
  • PFO's perioperative risks are underrecognized in non-cardiac surgery and anesthesiology.
  • PFO can cause paradoxical embolism and severe hypoxemia during surgery.

Purpose of the Study:

  • To review the epidemiology, detection methods, and clinical significance of PFO.
  • To highlight perioperative complications associated with PFO.
  • To outline strategies for preventing and managing PFO-related issues in surgical patients.

Main Methods:

  • Literature review of PFO epidemiology.
  • Discussion of diagnostic techniques for PFO.
  • Analysis of perioperative complications and management strategies.

Main Results:

  • PFO prevalence varies globally.
  • Echocardiography and transesophageal echocardiography are key detection methods.
  • Perioperative risks include paradoxical embolism and hypoxemia, necessitating specific management.

Conclusions:

  • PFO is an important consideration in perioperative care.
  • Awareness and appropriate strategies can mitigate PFO-related risks.
  • Further research is needed to optimize PFO management in surgical settings.

More Related Videos

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

4.5K
Author Spotlight: Enhancing Coronary Artery Revascularization05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.4K

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
424
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
566
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
582
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.1K
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
372
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
1.8K