Open AccessTranscatheter closure of patent foramen ovale during a radiofrequency ablation procedure
Author(s) -
Manolis Antonis S.,
Andrikopoulos George,
Tsagou Vassiliki,
Pyrros John,
Kranidis Athanasios
Publication year - 2006
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960290810
Subject(s) - medicine , patent foramen ovale , ablation , migraine , supraventricular tachycardia , supraventricular arrhythmia , catheter ablation , transesophageal echocardiogram , surgery , headaches , radiofrequency ablation , atrial flutter , fossa ovalis , cardiology , foramen secundum , tachycardia , anesthesia , atrial fibrillation , left atrium
A 43‐year‐old woman was undergoing radiofrequency catheter ablation of a symptomatic supraventricular tachycardia when a patent foramen ovale (PFO) was detected with passage of the diagnostic electrocatheter into the left atrium. Prior echocardiographic studies had been unrevealing. Upon questioning during the procedure, the patient now admitted to frequent and disabling daily migraine attacks, while her family described two recent brief episodes of disorientation and dysarthria, consistent with transient ischemic attacks. The patient was informed of the option of future closure of the PFO, but she insisted on having this done concurrently with her ablation procedure. After successful ablation of the slow pathway considered responsible for the supraventricular tachycardia, an Amplatzer closure device was utilized and the PFO was successfully closed during the same procedure. A postprocedural transesophageal echocardiogram showed complete sealing of the PFO, while over the ensuing 10 months the patient reported virtual elimination of her daily attacks of migrainous headaches, limited to a single episode the day after the procedure and none thereafter.