Patent foramen ovale

• Illustrations
• Alternative names
• Definition
• Causes, incidence, and risk factors
• Symptoms

• Signs and tests
• Treatment
• Expectations (prognosis)
• Complications
• Calling your health care provider

Alternative names    Return to top

Definition    Return to top

Fetuses have a normal opening between the left and right atria (upper chambers) of the heart. If this opening fails to close naturally soon after the baby is born, the condition is called patent foramen ovale (PFO).

Causes, incidence, and risk factors    Return to top

PFO is the persistence of a fetal opening between the left and right atria (upper chambers) of the heart. This hole allows blood to bypass the lungs, because they are not used until a baby is born. The foramen ovale normally closes soon after the infant is born.

The foramen ovale may remain open in as many as 1 out of 5 people. The cause is unknown and there are no known risk factors for developing a PFO.

Symptoms    Return to top

Infants with a patent foramen ovale and no other heart defects do not have symptoms.

Signs and tests    Return to top

The only sign (which occurs only rarely) of a PFO is intermittent bluish discoloration of the baby's skin (cyanosis). This usually occurs during crying or straining to pass stool.

Treatment    Return to top

This condition is not treated unless other heart abnormalities exist.

Expectations (prognosis)    Return to top

The infant will have normal health in the absence of other heart defects.

Complications    Return to top

Unless there are other associated defects, there are usually no complications associated with PFO. There have been some studies suggesting that older patients with PFOs have a higher rate of a certain type of stroke (thromboembolic). The reason for this is that older people frequently develop blood clots in the veins in their legs. These clots can sometimes travel from their original site to the right side of their heart.

If PFO is present, the clot can then pass from the right side to the left side from whence it can travel to the brain and become lodged there, preventing blood flow to that part of the brain (stroke).

Calling your health care provider    Return to top

Call your health care provider if your baby turns blue when crying or defecating. Usually, however, this disorder is only discovered incidentally when a cardiologist performs an echocardiogram (ultrasound of the heart) to evaluate an unrelated heart murmur.