I had a TIA almost 1 year ago, I was 42. After many tests they found that I have a PFO and I also had a DVT in my right calf. They started me on Warfarin, baby aspirin, Lipitor and Lisinopril just for precaution. The DVT has since dissolved.
I recently received an e-mail with the results of my last echo which stated:
The visually estimated ejection fraction is 60%.
The right ventricle is mildly enlarged.
There is evidence of an atrial septal aneurysm.
The right atrium is mildly enlarged.
There is a trace of mitral regurgitation.
There is moderate to severe tricuspid regurgitation.
There is a trace pulmonic regurgitation.
The right ventricular systolic pressure is calculated at 42 mmHg.
I have not heard from my Cardiologist yet, (left many messages), and I'm concerned. Should I request to have the PFO Closure or are my results not of great concern? Any help you can offer is greatly appreciated. Thank you
it is hard to give you an accurate assessment of situation without personally meeting you and reviewing your echocardiogram but I will give you some helpful information.
Without looking at your echocardiogram, it is hard to tell you if you indeed have a PFO. I suspect that you have a condition called atrial septal defect which refers to a larger communication between the left and the right side of the heart.
The reason I say that is due to the fact that the right side of your heart has now started showing signs of "overload"
That being said, I think that there does not appear to be an irreversible change or damage to your heart muscle.
I would suggest that you follow up with a cardiologist who specializes in the treatment of these disorders (like a structural heart disease specialist) who will be able to determine a management/ referral plan.
You are welcome to follow up at the Cleveland Clinic as we have several cardiologists who specialize in the treatment of this condition.
Thank you...I do infact have a PFO, they did a "bubble test" while I was in the hospital and shortly after my release I had a TEE done, both tests did show the PFO. When you say my heart is showing signs of "overload", what does that mean? I get winded quite often and I can feel the strong beat of my heart...at times it seems like you could see how hard it is beating. I have no family history of PFO's, DVT's or strokes in my family so all these changes have reallygotten me scared. Thank you for your response, hopefully my cardiologist will call me soon with his decisions.
Overload refers to the fact there is blood flowing from left side to the right side of the heart through the abnormal connection (PFO) leading to an extra burden on the right side of your heart.
It is uncommon to have left to right flows through a PFO (generally they are right to left) but certainly a possibility, but it is hard for me to tell you that with definite certainty without looking at your TEE/ echo pictures.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.