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Updated: Nov 3, 2025

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
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.
Abstract:
Patent foramen ovale (PFO) is a common congenital atrial septal defect with an incidence of 15-35% in the adult population. The development of the interatrial septum is a process that begins in the fourth gestational week and is completed only after birth. During intrauterine life, the foramen ovale allows the passage of highly oxygenated blood from the right to the left atrium and into the systemic arteries, thus bypassing the pulmonary circulation. In 75% of the general population, the foramen ovale closes after birth, and only an oval depression, called fossa ovalis, remains on the right side of the interatrial septum. Patent foramen ovale can be associated with various clinically important conditions, including migraine and stroke, or decompression illness in divers. The aim of this review is to summarize the PFO developmental and anatomical features and to discuss the clinical risks associated with this atrial septal defect in adults.
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