Echocardiographically Guided Closure of a Patent Foramen Ovale During Pregnancy After Recurrent Strokes

Daehnert, Ingo; Ewert, Peter; Berger, Felix; Lange, Peter

doi:10.1111/j.1540-8183.2001.tb00733.x

Cited by 22 publications

(15 citation statements)

References 8 publications

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“…[5,[85][86][87][88][89][90][91][92][93][94][95] resistance, which can be managed with intravenous vasodilators. Some applications of echocardiography in interventional procedures during pregnancy have been suggested in some case reports [104,105] but this findings merit further investigation. Patent foramen ovale (PFO) may predispose to paradoxical venous emboli crossing from the right to the left atrium during a transient right atrial pressure elevation.…”

Section: General Management Implicationsmentioning

confidence: 95%

“…However, patients with unexplained cerebral events have an elevated recurrence risk of cerebrovascular events regardless of the prophylactic antithrombotic therapy used. To prevent recurrent cerebral thromboembolism during pregnancy, delivery, and puerperium, interventional PFO closure can be performed without fluoroscopy under transesophageal echocardiographic guidance [104,105].…”

Section: General Management Implicationsmentioning

confidence: 99%

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Role of echocardiography in the assessment and management of adult congenital heart disease in pregnancy

Vitarelli

Capotosto

2010

Int J Cardiovasc Imaging

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Congenital heart disease represent a large proportion of heart disease in pregnancy. With the exception of patients with Eisenmenger's syndrome, pulmonary vascular obstructive disease, and Marfan's syndrome with aortopathy, maternal death during pregnancy is rare in women with CHD but morbidity occurs such as heart failure, arrhythmias, and stroke. Echocardiography represents a milestone in diagnosis, understanding of pathophysiology, assessment of disease severity and patient monitoring in pregnant women with unoperated and post-operative congenital heart disease.

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Section: General Management Implicationsmentioning

confidence: 95%

Section: General Management Implicationsmentioning

confidence: 99%

Role of echocardiography in the assessment and management of adult congenital heart disease in pregnancy

Vitarelli

Capotosto

2010

Int J Cardiovasc Imaging

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“…Experience of percutaneous PFO device closure during pregnancy is limited [26]; the use of the Amplatzer PFO occlusion device in pregnancy has been previously reported, as has the Gore Helex device in a series of three cases [27]. The novel choice of the Premere device has potential advantages in the unusual case of percutaneous device closure of PFO in pregnant patients.…”

Section: Discussionmentioning

confidence: 96%

Stroke during Pregnancy: Therapeutic Options and Role of Percutaneous Device Closure

Dark

Loiselle

Hatton

et al. 2011

Heart, Lung and Circulation

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“…El diagnóstico del mismo se podrá alcanzar a través de la realización de una ecografía transesofágica, la cual descartará la presencia de trombos en cavidades derechas y confirmará, al mismo tiempo, la existencia de una comunicación (8,9).…”

Section: Discussionunclassified

Ictus Isquémico en Puérpera Secundario a Embolismo Paradójico

Pérez

Vega

Lorenzo

et al. 2010

Rev. chil. obstet. ginecol.

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RESUMENEl infarto cerebral durante el embarazo o puerperio es una complicación grave que causa alta morbimortalidad materna. Presentamos el caso de una mujer previamente sana, de 32 años de edad, que sufrió embolismo cerebral posparto. La ecocardiografía confirma la presencia de foramen oval permeable, que puede ser causa de embolismo paradójico, causando un accidente vascular cerebral transitorio o infarto. Para prevenir episodios recurrentes de embolismo cerebral durante el embarazo, parto o puerperio, se realizó el cierre intervencional del foramen oval sin complicaciones. PALABRAS CLAVE: Embolismo paradójico, foramen oval permeable, ictus en el posparto SUMMARYStroke during pregnancy and puerperium is a severe complication that causes high morbidity and mortality. We report a case of previously healthy, 32 year old woman, who suffered cerebral embolism after delivery. Echocardiography confirmed the patent foramen ovale. Patent foramen ovale may be a mechanism of paradoxical embolism causing a transient ischemic attack or stroke. To prevent recurrent cerebral embolism during pregnancy, delivery and puerpuerium, interventional closure of the patent foramen ovale was performed. The postinterventional course was uneventful. KEY WORDS: Paradoxical embolism, patent foramen ovale, postpartum period stroke INTRODUCCIÓNEl ictus isquémico durante el embarazo o puerperio es una complicación severa con alto riesgo de morbimortalidad materna. Uno de los factores de riesgo es la persistencia de la permeabilidad del foramen oval que puede producir embolismo paradójico (1).El embolismo paradójico es una causa rara de embolia, que ocurre cuando se produce el paso de un trombo desde el sistema venoso o desde las cavidades cardiacas derechas a la circulación arterial, sin pasar por el filtro capilar pulmonar, a través de un cortocircuito derecha-izquierda (2).Presentamos un caso con sospecha clínica de ictus isquémico confirmado posteriormente por RMN y angioRMN, secundario a un trombo venoso localizado en miembro inferior (área íleo-femoral) diagnosticada por Eco-Doppler y secundario a la presencia de un foramen ovale permeable objetivado posteriormente en una ecografía transesofá-gica. 339 REV CHIL OBSTET GINECOL 2010; 75(5): 339 -342

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Echocardiographically Guided Closure of a Patent Foramen Ovale During Pregnancy After Recurrent Strokes

Abstract: Percutaneous transvenous closure of a PFO during pregnancy is feasible without the use of fluoroscopy.

Cited by 22 publications

References 8 publications

Role of echocardiography in the assessment and management of adult congenital heart disease in pregnancy

Role of echocardiography in the assessment and management of adult congenital heart disease in pregnancy

Stroke during Pregnancy: Therapeutic Options and Role of Percutaneous Device Closure

Ictus Isquémico en Puérpera Secundario a Embolismo Paradójico

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