Patent foramen ovale
- Home
- Patent foramen ovale
What is a patent foramen ovale?
A patent foramen ovale, or “PFΟ,” is a small opening inside the heart. The opening is between the upper 2 chambers of the heart, which are called the right atrium and left atrium. A PFO lets blood flow between these chambers.
Before birth, when a baby is growing in the mother’s uterus, an opening between the right atrium and left atrium is normal. It lets blood flow through the heart in the correct way. (The way blood flows through the heart before birth is different from the way it flows through the heart after birth.)
After birth, an opening between the right atrium and left atrium is not needed anymore. In most babies, the opening closes on its own soon after birth. But in some babies, it does not close. When this happens, doctors call it a ΡFΟ. This is very common. About 1 out of every 4 people has a PFO. Doctors don’t know what causes a PFΟ.
What are the symptoms of a PFO?
Most people have no symptoms or problems from their ΡFО. Some people might find out they have it when their doctor does a test for another reason.
In some cases, a PFО can lead to problems. Although uncommon, some PFOs can lead to a stroke. A stroke is when a part of the brain is damaged because of a problem with blood flow. It can cause problems with speaking, thinking, or moving the arms or legs.
A РFՕ can lead to a stroke in the following way: A blood clot can form in a leg vein. The blood clot can travel through the blood to the heart. It then enters the right atrium. If a person has a PFО, the blood clot can then flow into the left atrium. From there, it flows into the left ventricle and then to the body or brain. A blood clot that travels to the brain can cause a stroke.
Is there a test for a PFO?
Yes. The test done most often to check for a РFO is an echocardiogram (also called an “echo”). This test uses sound waves to create pictures of the heart as it beats.
Your doctor will likely do a test called a “bubble test” with your echo. They will put some salt water (that has bubbles) into your vein through a thin tube called an “IV.” Then your doctor will do an echo to watch how the bubbles flow through your heart.
People might have tests to check for a ΡFО if they have a stroke and their doctor can’t find a cause of the stroke.
How is a PFO treated?
Treatment depends on whether your ΡFΟ causes symptoms or not.
If your РFО causes no symptoms, it does not need treatment.
If you had a stroke that could have been caused by your ΡFΟ, your doctor will talk with you about possible treatments. These might include:
- Medicines, including aspirin or other medicines to prevent blood clots
- A procedure or surgery to close your РFО
Your doctor might also recommend things you can do on your own to prevent blood clots in your legs. To help prevent blood clots in your legs, you can:
- Avoid sitting or standing still in the same position for a long time
- Stand up and walk around every 1 to 2 hours, including when you take long trips by car, train, or plane
- Change your position when you are sitting, and move your legs and feet often
- Not smoke