Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2015, Vol. 37 ›› Issue (4): 470-474.doi: 10.3881/j.issn.1000-503X.2015.04.018

• Orginal Article • Previous Articles     Next Articles

Perioperative Challenges and Strategies for Patent Foramen Ovale Patients Undergoing Non-cardiac Surgery

Tian WANG1, Bin ZHU2()   

  1. 1Department of Extracorporeal Circulation,Fuwai Cardiovascular Hospital,CAMS and PUMC,Beijing 100037,China

    2Department of Anesthesiology,Hospital of Chinese Traditional and Western Medicine,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China
  • Received:2014-06-05 Online:2015-05-25 Published:2015-08-31


The close relationship between patent foramen ovale(PFO)and cryptogenic ischemic cerebrovascular disease and migraine has been concerned for years. However,in the field of non-cardiac surgery and anesthesiology,PFO and related clinical problems are less recognized. Under perioperative circumstances,PFO may generate many challenges such as paradoxical systematic embolism and severe hypoxemia. This article briefly introduces the epidemiology,paradoxical embolism,and detection methods of PFO and discribes the perioperative complications and corresponding perioperative strategies for prevention and cure.

Key words: patent foramen ovale, surgery, anesthesia, transesophageal echocardiography

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