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Updated: May 28, 2026

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
Published on: December 23, 2022
Patent Foramen Ovale and Atrial Septal Defect
Joe Aoun1, Taha Hatab1, John Volpi2
1Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, USA.
Insights
Patent foramen ovale (PFO) and atrial septal defects (ASDs) are heart conditions that can lead to serious complications like stroke. Early diagnosis and proper management are crucial for preventing risks and improving patient outcomes.
Area of Science:
- Cardiology
- Congenital Heart Disease
Background:
- Patent foramen ovale (PFO) and atrial septal defects (ASDs) are common interatrial communications.
- PFO persists in 25-30% of adults, potentially causing paradoxical embolism and stroke.
- ASDs often lead to right heart volume overload and can be associated with other congenital defects.
Purpose of the Study:
- To differentiate PFO and ASDs based on clinical presentation and management.
- To describe diagnostic methods, treatment options, and potential complications for PFO and ASDs.
- To emphasize the importance of accurate diagnosis and timely intervention.
Main Methods:
- Review of diagnostic modalities for PFO and ASDs.
- Analysis of treatment strategies, including surgical and percutaneous interventions.
- Evaluation of potential complications associated with both conditions.
Main Results:
- PFO may lead to embolic stroke due to paradoxical embolism.
- ASDs typically cause right heart volume overload.
- Both conditions require precise diagnosis and tailored management.
Conclusions:
- Accurate diagnosis and appropriate management are essential for PFO and ASDs.
- Interventions aim to mitigate risks such as stroke and heart failure.
- Optimizing patient outcomes depends on a comprehensive approach to these cardiac conditions.
Abstract:
Patent foramen ovale (PFO) and atrial septal defects (ASDs) are two types of interatrial communications with unique clinical presentations and management strategies. The PFO is a normal part of fetal development that typically closes shortly after birth but may persist in as many as 25% to 30% of adults. The communication between atria may result in paradoxic embolism and embolic stroke. On the other hand, ASDs (anatomically defined as secundum, primum, sinus venosus, and coronary sinus in order of prevalence) typically result in right heart volume overload and are often associated with other congenital defects. The diagnostic methods, treatment options including surgical and percutaneous approaches, and potential complications are described. Both conditions underline the significance of precise diagnosis and appropriate management to mitigate risks and ensure optimal patient outcomes.
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