Pediatric Heart Expert Forum
PFO
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

PFO

My 10 year old son had a TIA, and they found a 4mm PFO. What should happen now?
Related Discussions
773637_tn?1327450515
Dear Sonja,

This is a difficult problem.  For our other readers, a transient ischemic attack (TIA) is a brief, reversible neurologic event like a stroke, but the effects do not last more than 24 hours.  There has been a fair bit of adult literature suggesting that a patent foramen ovale (PFO), which is a small hole between the upper two chambers of the heart that all babies have in utero, and is still present in 25% of all adults, may be allowing a blood clot to pass through from the right to the left side of the heart.  This would then supposedly cause a neurologic event.  Thus, there has been a lot of talk about performing a cardiac catheterization and placing a device in the PFO to plug it.  However, the literature supporting this is not strong, and is even less so in pediatric patients.  In fact, there have been a couple of well done recent studies that say that there is no difference.  Therefore, it would be more important to make sure that the blood vessels in the head and neck are normal, and that your son does not have a clotting disorder.  Without evaluating your son, I cannot say for sure what it is causing this.  However, it would be important to have him evaluated in a center that is used to evaluating specifically children who have these events.
Blank
Continue discussion Blank
This Forum's Experts
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
18 hrs ago by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank