Patent Foramen Ovale-A Not So Innocuous Septal Atrial Defect in Adults

Veronica Romano1, Carlo Maria Gallinoro1, Rosita Mottola1

  • 1Department of Public Health, University of Naples "Federico II", 80131 Naples, Italy.

Insights

Patent foramen ovale (PFO), a common heart defect present in 15-35% of adults, can lead to stroke and other serious conditions. This review details PFO

Area of Science:

  • Cardiology
  • Developmental Biology
  • Anatomy

Background:

  • Patent foramen ovale (PFO) is a congenital heart defect affecting 15-35% of adults.
  • It arises from incomplete closure of the interatrial septum, which develops early in gestation.
  • Normally, the foramen ovale closes shortly after birth, leaving the fossa ovalis.

Purpose of the Study:

  • To review the developmental and anatomical characteristics of PFO.
  • To discuss the clinical implications and associated risks of PFO in adults.

Main Methods:

  • Literature review of developmental and anatomical studies.
  • Synthesis of clinical data linking PFO to specific conditions.

Main Results:

  • PFO results from the failure of the foramen ovale to close postnatally.
  • Associated conditions include stroke, migraine, and decompression sickness.
  • Understanding PFO anatomy is crucial for assessing clinical risks.

Conclusions:

  • PFO is a common remnant of fetal circulation with significant adult health implications.
  • Further research into PFO's role in various pathologies is warranted.
  • Clinical awareness of PFO is essential for managing associated risks.

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