Should your Patent Foramen Ovale (PFO) be closed? Amar Krishnaswamy, MD, FACC

Closure devices are used to close a defect or an opening between the right and left sides of the heart. Some of these birth defects are located in the wall (septum) between the upper chambers (atria) of the heart:


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Gore Cardioform Device for septal closure

Gore Cardioform Device for septal closure
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What is a closure device?

The percutaneous closure of PFO and ASD is performed using a special closure device. The device is folded or attached on to a special catheter, similar to the catheter used during your catheterization. The catheter is inserted into a vein in the leg and advanced into the heart and through the defect. The device is slowly pushed out of the catheter allowing each side of the device to open up and cover each side of the hole (like a sandwich), closing the hole or defect. When the device is in proper position, it is released from the special catheter. Over time, heart tissue grows over the implant, becoming part of the heart. The PFO and ASD closure procedures are monitored by X-ray and an ultrasound camera inserted in the heart from a vein in the top of the leg.

What if a closure device is not an option?

Patients who are not candidates for catheter based closure devices, may require surgery to close their septal defect.  Minimally invasive and robotically assisted approaches are available. Congenital heart cardiologists, interventionalists and surgeons work together to make sure each patient gets the right procedure to treat their congenital heart condition.  

Reviewed: 08/17