Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature

Sunil Saharan; Joseph Vettukattil; Aarti Bhat; Venu Amula; Manish Bansal; Devyani Chowdhury; Umesh Dyamenahalli; Saurabh Gupta; Bibhuti Das; T. Susheel Kumar; Ashok Muralidaran; Kalyani Trivedi; Sethuraman Swaminathan; Neha Bansal; Unnati Doshi; Arvind Hoskoppal; Seshadri Balaji

doi:10.4103/apc.apc_67_21

Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature

Sunil Saharan, Joseph Vettukattil, Aarti Bhat, Venu Amula, Manish Bansal, Devyani Chowdhury, Umesh Dyamenahalli, Saurabh Gupta, Bibhuti Das, T. Susheel Kumar, Ashok Muralidaran, Kalyani Trivedi, Sethuraman Swaminathan, Neha Bansal, Unnati Doshi, Arvind Hoskoppal, Seshadri Balaji

Research output: Contribution to journal › Review article › peer-review

5 Scopus citations

Abstract

A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea-orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.

Original language	English
Pages (from-to)	44-52
Number of pages	9
Journal	Annals of Pediatric Cardiology
Volume	15
Issue number	1
DOIs	https://doi.org/10.4103/apc.apc_67_21
State	Published - 1 Jan 2022
Externally published	Yes

Keywords

Children
decompression sickness
management
migraine
patent foramen ovale
platypnea-orthodeoxia syndrome
stroke

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10.4103/apc.apc_67_21

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Saharan, S., Vettukattil, J., Bhat, A., Amula, V., Bansal, M., Chowdhury, D., Dyamenahalli, U., Gupta, S., Das, B., Susheel Kumar, T., Muralidaran, A., Trivedi, K., Swaminathan, S., Bansal, N., Doshi, U., Hoskoppal, A., & Balaji, S. (2022). Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature. Annals of Pediatric Cardiology, 15(1), 44-52. https://doi.org/10.4103/apc.apc_67_21

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title = "Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature",

abstract = "A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea-orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.",

keywords = "Children, decompression sickness, management, migraine, patent foramen ovale, platypnea-orthodeoxia syndrome, stroke",

author = "Sunil Saharan and Joseph Vettukattil and Aarti Bhat and Venu Amula and Manish Bansal and Devyani Chowdhury and Umesh Dyamenahalli and Saurabh Gupta and Bibhuti Das and {Susheel Kumar}, T. and Ashok Muralidaran and Kalyani Trivedi and Sethuraman Swaminathan and Neha Bansal and Unnati Doshi and Arvind Hoskoppal and Seshadri Balaji",

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doi = "10.4103/apc.apc_67_21",

language = "English",

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Saharan, S, Vettukattil, J, Bhat, A, Amula, V, Bansal, M, Chowdhury, D, Dyamenahalli, U, Gupta, S, Das, B, Susheel Kumar, T, Muralidaran, A, Trivedi, K, Swaminathan, S, Bansal, N, Doshi, U, Hoskoppal, A & Balaji, S 2022, 'Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature', Annals of Pediatric Cardiology, vol. 15, no. 1, pp. 44-52. https://doi.org/10.4103/apc.apc_67_21

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T2 - Unique pediatric challenges and lessons learned from adult literature

AU - Saharan, Sunil

AU - Vettukattil, Joseph

AU - Bhat, Aarti

AU - Amula, Venu

AU - Bansal, Manish

AU - Chowdhury, Devyani

AU - Dyamenahalli, Umesh

AU - Gupta, Saurabh

AU - Das, Bibhuti

AU - Susheel Kumar, T.

AU - Muralidaran, Ashok

AU - Trivedi, Kalyani

AU - Swaminathan, Sethuraman

AU - Bansal, Neha

AU - Doshi, Unnati

AU - Hoskoppal, Arvind

AU - Balaji, Seshadri

PY - 2022/1/1

Y1 - 2022/1/1

N2 - A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea-orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.

AB - A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea-orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.

KW - Children

KW - decompression sickness

KW - management

KW - migraine

KW - patent foramen ovale

KW - platypnea-orthodeoxia syndrome

KW - stroke

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SP - 44

EP - 52

JO - Annals of Pediatric Cardiology

JF - Annals of Pediatric Cardiology

IS - 1

ER -

Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature

Abstract

Keywords

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