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Question:

Should I do anything about my PFO and valvular heart disease? 

I am a 36 year old female who had a baby just four months ago. I had really high blood pressure right after having my son that my doctor sent me to have an echo. I have had a nuclear stress test, two echoes and an echo with a bubble study. The tests revealed PFO on the bubble study and echoes showed the following:
  1. Moderate to severe tricuspid regurgitation with right atrial enlargement
  2. Trivial pulmonic insufficiency
  3. Trace mitral regurgitation
  4. Left atrial enlargement
  5. Atrial septum aneurysm
  6. Elevated RVSP?  

Please give me some advice.

submitted by Shirley from Tennessee on 3/26/2013

Answer:

by Texas Heart Institute cardiologist, Neil E. Strickman, MD  

Neil E. Strickman, MDIn women of child bearing age, there is an indication to fix the PFO [Patent Foramen Ovale] to prevent lung blood clots in the future.  At the present time, even though this is readily fixable without open heart surgery, there is still much debate over whether this procedure is beneficial, or just cosmetic for the patient.  Almost all cardiologists believe that in your instance (depending on the actual pressures and oxygen measurements), you would be a candidate for PFO closure. Consult with your doctor about your test results.  

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Updated March 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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