Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?

Eustaquio M. Onorato; Vittorio Ambrosini; Francesco Casilli; Antonio L. Bartorelli

doi:10.5114/aic.2021.109155

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?

Eustaquio M. Onorato

¹

,

Vittorio Ambrosini

²

,

Francesco Casilli

³

,

Antonio L. Bartorelli

^{1, 4}

Centro Cardiologico Monzino, IRCCS, University of Milan, Milan, Italy

Reparto di Cardiologia, Ospedale San Giuseppe Moscati, Avellino, Italy

Centro di Cardiologia Interventistica, Istituto Clinico Sant’Ambrogio, Milan, Italy

Department of Biomedical and Clinical Sciences, “Luigi Sacco”, University of Milan, Milan, Italy

Adv Interv Cardiol 2021; 17, 3 (65): 319–321

DOI: https://doi.org/10.5114/aic.2021.109155

Online publish date: 2021/09/14

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AMA

Onorato E, Ambrosini V, Casilli F, L. Bartorelli A. Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(3):319-321. doi:10.5114/aic.2021.109155.

APA

Onorato, E., Ambrosini, V., Casilli, F.,  & L. Bartorelli, A. (2021). Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(3), 319-321. https://doi.org/10.5114/aic.2021.109155

Chicago

Onorato, Eustaquio M., Vittorio Ambrosini, Francesco Casilli,  and Antonio L. Bartorelli. 2021. "Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 17 (3): 319-321. doi:10.5114/aic.2021.109155.

Harvard

Onorato, E., Ambrosini, V., Casilli, F.,  and L. Bartorelli, A. (2021). Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(3), pp.319-321. https://doi.org/10.5114/aic.2021.109155

MLA

Onorato, Eustaquio M. et al. "Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 17, no. 3, 2021, pp. 319-321. doi:10.5114/aic.2021.109155.

Vancouver

Onorato E, Ambrosini V, Casilli F, L. Bartorelli A. Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(3):319-321. doi:10.5114/aic.2021.109155.

We present a case of a 38-year-old woman, aura migraineur, with a past medical history of Hashimoto’s thyroiditis and elevated homocysteine level of 75 µmol/l due to homozygous C677T MTHFR gene mutation on folic acid supplementation. In December 2009 a right-sided hemiparesis on awakening occurred and brain magnetic resonance imaging confirmed left thalamic infarct. Continuous ECG monitoring ruled out atrial fibrillation. A Doppler study of lower limbs revealed no overt thrombosis. Extracranial duplex ultrasound examination was normal and carotid dissection was excluded. Two-dimensional (2D) transthoracic/transesophageal echocardiography (TTE/TEE) color Doppler showed a right-to-left shunt (RLS) via a long tunnel-type patent foramen ovale (PFO), with an overlap between the primum and secundum septum of 13 mm along with a prominent Eustachian valve.

Very long-term follow-up after in-tunnel patent foramen ovale closure with FlatStent EF: still an attractive option?

Eustaquio M. Onorato 1 , Vittorio Ambrosini 2 , Francesco Casilli 3 , Antonio L. Bartorelli 1, 4

Eustaquio M. Onorato

¹

,

Vittorio Ambrosini

²

,

Francesco Casilli

³

,

Antonio L. Bartorelli

^{1, 4}