The thread on TEE use brought up the topic of incidental PFO found during cardiac surgery. Our policy is to close all of them. Now I agree with closure if there is any concern of perioperative hypoxemia in patients with failing RV or pulmonary hypertension. The risk of stroke is always used for its closure. What do you think? And what about this JAMA article:
JAMA. 2009 Jul 15;302(3):290-7. doi: 10.1001/jama.2009.1012.
Prevalence and repair of intraoperatively diagnosed patent foramen ovale and association with perioperative outcomes and long-term survival.
Krasuski RA, Hart SA, Allen D, Qureshi A, Pettersson G, Houghtaling PL, Batizy LH, Blackstone E.
http://www.ncbi.nlm.nih.gov/pubmed/19602688
JAMA. 2009 Jul 15;302(3):290-7. doi: 10.1001/jama.2009.1012.
Prevalence and repair of intraoperatively diagnosed patent foramen ovale and association with perioperative outcomes and long-term survival.
Krasuski RA, Hart SA, Allen D, Qureshi A, Pettersson G, Houghtaling PL, Batizy LH, Blackstone E.
http://www.ncbi.nlm.nih.gov/pubmed/19602688