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Updated: Sep 10, 2025
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Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
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Prevención del accidente cerebrovascular durante el embarazo y después del parto en pacientes con foramen oval
Grace B Russo1, Stephanie E Purisch2, Malamo E Countouris3
1Department of Neurology, Division of Stroke, New York University Grossman School of Medicine, New York, New York, USA.
JACC. Advances
|August 23, 2025
Resumen
El embarazo y el foramen oval abierto (PFO) aumentan el riesgo de accidente cerebrovascular en adultos jóvenes. Este estudio describe estrategias para prevenir accidentes cerebrovasculares relacionados con el PFO en mujeres embarazadas, abordando varios escenarios clínicos.
Área de la Ciencia:
- Neurología
- Cardiología
- Medicina materna y fetal
Sus antecedentes:
- El embarazo y el foramen oval abierto (PFO) son factores de riesgo de accidente cerebrovascular independientes en personas jóvenes.
- Las directrices actuales carecen de recomendaciones específicas para controlar el riesgo de accidente cerebrovascular relacionado con la FOP durante el embarazo.
- PFO es una anomalía cardíaca común asociada con un accidente cerebrovascular criptogénico.
Objetivo del estudio:
- Para resumir la fisiopatología del accidente cerebrovascular relacionado con el PFO.
- Presentar enfoques prácticos para la prevención primaria y secundaria del accidente cerebrovascular en pacientes embarazadas con FOP.
- Para hacer frente a los desafíos únicos de gestión durante el embarazo.
Principales métodos:
- Revisión de la fisiopatología del PFO y de los mecanismos del ictus.
- Presentación de 5 escenarios clínicos distintos que involucran a pacientes embarazadas con FOP.
- Discurso sobre las estrategias de gestión interdisciplinarias.
Principales resultados:
- Escenarios clave identificados: PFO incidental, cribado de alto riesgo, planificación del embarazo después del accidente cerebrovascular, accidente cerebrovascular durante el embarazo y PFO después de TIA.
- Destacó la complejidad de la prevención del accidente cerebrovascular en pacientes embarazadas con PFO.
- Hizo hincapié en la necesidad de una atención multidisciplinaria personalizada.
Conclusiones:
- El tratamiento eficaz requiere la colaboración entre la neurología, la cardiología y la medicina materno-fetal.
- Se necesitan protocolos específicos para la mitigación del riesgo de accidente cerebrovascular relacionado con el PFO en el embarazo.
- Las estrategias de prevención y tratamiento individualizadas son cruciales para esta población de alto riesgo.
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