Pre-interventional transesophageal echocardiography as a reliable predictor of residual shunt following patent foramen ovale closure.

Journal: Clinical research in cardiology : official journal of the German Cardiac Society
Published Date: Jul 24, 2025

Abstract

BACKGROUND: Closure of a patent foramen ovale (PFO) is an effective strategy in the prevention of recurrent stroke after cryptogenic stroke. Residual shunt (RS) is a common issue following PFO closure and may affect safety and efficacy. Transesophageal echocardiography (TEE) is the key diagnostic tool, but standardized assessment of morphological parameters to prevent RS remains challenging.

Authors

  • Tobias Harm
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Monika Zdanyte
    Department of Cardiology, University Hospital Tuebingen, Tuebingen, Germany.
  • Andreas Goldschmied
    Department of Cardiology and Angiology, University Hospital of the Eberhard Karls University Tuebingen, Otfried-Mueller-Str.10, 72076, Tübingen, Germany.
  • Álvaro Petersen Uribe
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Marc Reinert
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Juergen Schreieck
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Parwez Aidery
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Dominik Rath
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Tobias Geisler
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Meinrad Paul Gawaz
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany.
  • Michal Droppa
    Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Otfried-Müller-Straße 10, Tübingen, 72076, Germany. michal.droppa@med.uni-tuebingen.de.

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