{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T16:10:21Z","timestamp":1762272621968,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T00:00:00Z","timestamp":1600041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T00:00:00Z","timestamp":1600041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>The management of an incidental patent foramen ovale found during planned cardiac surgery remains a challenge, and current guidelines are not helpful. Although evidence is accumulating, that closure of an incidental found patent foramen ovale might be beneficial, especially in planned off-pump procedures, the diagnosis of a formerly unknown patent foramen ovale with the patient on the operation table has vast consequences by making it necessary to switch to on pump, bi-caval cannulation for patent foramen ovale closure. We therefore developed a technique for transatrial closure of a patent foramen ovale, guided by transesophageal echocardiography.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>We have performed this surgery in 9 patients. None of them had a previously diagnosed patent foramen ovale. Mean age was 74 (\u00b15) years, Operation time was 175\u2009min (\u00b1 34\u2009min), Clamp time 35\u2009min (\u00b1 16\u2009min) and Cardiopulmonary bypass time 80 (\u00b117\u2009min). Mortality was 0%. Periprocedural transesophageal echocardiography revealed closure of the patent foramen ovale in all cases.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>We report a new surgical method for transoesophageal echocardiography controlled closure of a patent foramen ovale without the need for an atriotomy. This new technique is especially useful for the closure of patent foramen ovale in the setting of on-pump and off-pump coronary artery bypass graft surgeries alike.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s13019-020-01289-7","type":"journal-article","created":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T12:02:53Z","timestamp":1600084973000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Echocardiographic guided, transatrial closure of a patent foramen ovale"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3754-7689","authenticated-orcid":false,"given":"Felix","family":"Fleissner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Frank","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Haverich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issam","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"1289_CR1","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1016\/S0967-2109(02)00082-0","volume":"10","author":"D Schoevaerdts","year":"2002","unstructured":"Schoevaerdts D, Gonzalez M, Evrard P, et al. Patent foramen ovale: a cause of significant post-coronary artery bypass grafting morbidity. Cardiovasc Surg. 2002;10:615\u20137.","journal-title":"Cardiovasc Surg"},{"key":"1289_CR2","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1510\/icvts.2011.265835","volume":"12","author":"TT Lo","year":"2011","unstructured":"Lo TT, Jarral OA, Shipolini AR, et al. Should a patent foramen ovale found incidentally during isolated coronary surgery be closed? Interact Cardiovasc Thorac Surg. 2011;12:794\u20138.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"1289_CR3","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1053\/j.jvca.2005.01.022","volume":"19","author":"MR Sukernik","year":"2005","unstructured":"Sukernik MR, Goswami S, Frumento RJ, et al. National survey regarding the management of an intraoperatively diagnosed patent foramen ovale during coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2005;19:150\u20134.","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"1289_CR4","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1213\/01.ane.0000278621.67501.9b","volume":"105","author":"F.A. Flachskampf CON","year":"2007","unstructured":"F.A. Flachskampf CON. The incidental finding of a patent foramen ovale during cardiac surgery: should it always be repaired? Anesth Analg. 2007;105:613\u20134.","journal-title":"Anesth Analg"},{"issue":"6","key":"1289_CR5","doi-asserted-by":"publisher","first-page":"1691","DOI":"10.1053\/j.jvca.2014.04.030","volume":"28","author":"H Ramakrishna","year":"2014","unstructured":"Ramakrishna H, Patel PA, Gutsche JT, Kohl BA, Savino JS, Augoustides JG. Incidental patent foramen ovale in adult cardiac surgery: recent evidence and management options for the perioperative echocardiographer. J Cardiothorac Vasc Anesth. 2014;28(6):1691\u20135.","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"11","key":"1289_CR6","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1056\/NEJMoa1705915","volume":"377","author":"JL Mas","year":"2017","unstructured":"Mas JL, Derumeaux G, Guillon B, et al. Patent foramen Ovale closure or anticoagulation vs. Antiplatelets after stroke. N Engl J Med. 2017;377(11):1011\u201321.","journal-title":"N Engl J Med"},{"issue":"11","key":"1289_CR7","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1056\/NEJMoa1707404","volume":"377","author":"L S\u00f8ndergaard","year":"2017","unstructured":"S\u00f8ndergaard L, Kasner SE, Rhodes JF, et al. Patent foramen Ovale closure or antiplatelet therapy for cryptogenic stroke. N Engl J Med. 2017 Sep 14;377(11):1033\u201342.","journal-title":"N Engl J Med"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-020-01289-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-020-01289-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-020-01289-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:59Z","timestamp":1631577659000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-020-01289-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,14]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1289"],"URL":"https:\/\/doi.org\/10.1186\/s13019-020-01289-7","relation":{},"ISSN":["1749-8090"],"issn-type":[{"type":"electronic","value":"1749-8090"}],"subject":[],"published":{"date-parts":[[2020,9,14]]},"assertion":[{"value":"27 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 September 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Patients gave consent to PFO closure if incidentally detected during the operation.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"255"}}