#patent foramen ovale

[allkindsofadvocacy]

Find Me Friday: Wally & Fletcher!

Logo that says Reece’s Rainbow Special Needs Adoption Support in blue, below a blue & yellow paint stroke rainbow graphic with a yellow Ukrainian trident symbol on the right half. In this series, each Friday I’m able, I want to share a different child or group of children who are available for adoption and listed through the adoption advocacy website Reece’s Rainbow. Please note, names used on…

[intheupside]

Penguins defenseman Kris Letang underwent successful surgery to close a patent foramen ovale (PFO, a small hole in the heart).

The expected recovery time is four to six weeks.

Erik Karlsson said Kris Letang came into the practice facility today and seemed to be in a fine mood.

Karlsson texted Letang yesterday. #Pens

Sidney Crosby on Kris Letang: "I think he wants to play until he's 50."

Just talked with P.O Joseph. He's still living with Kris Letang, he said Letang's doing fine, in good spirits, cracking jokes.

[hockeyupdate]

"Pittsburgh Penguins defenseman Kris Letang underwent successful surgery, it was announced today by President of Hockey Operations and General Manager Kyle Dubas. Letang had successful closure of a patent foramen ovale (PFO; small hole in the heart). The expected recovery time is four to six weeks."

[thanatika]

gender sexuality and mental health headcanons are an oversaturated market... standing out by becoming extremely passionate and attached to the headcanon that artemy burakh was born with patent foramen ovale:

[osokasstuff]

people with congenital heart defects are expected to be either miserable or inspiration porn.

CHD(s) = congenital heart defect(s)

it's not unique experience for CHDs. lots of, if not all, disabilities are treated like that. are shown, seen, and expected to be either tragedy (tm) or inspiration porn. but it hugely affects people with CHDs and frames our experience a lot.

we're either presumed physically and mentally incapable, fragile, incompetent, expected to struggle constantly, expected to die early, expected to be miserable and pity (in a derogatory way).

or expected to be perfectly healthy after surgery/treatment/confirmation that we wouldn't be given surgery in the near future, expected to be fixed (tm), expected to achieve everything and more because look at these sportsmen/celebrities/other famous people, they made it through and you have to. expected to have no more symptoms, no complications, no after-effects, no problems.

when the reality is that our lives can vary widely. our support needs, problems, abilities, and experiences vary widely.

from the very beginning, there is no single condition called CHD, there are lots of conditions called CHDs (plural!), and their effects, presentation, symptoms, treatment options, and everything else do vary widely. and even the same CHD may present very differently, have different severity, there often are different treatment options (conservative and/or surgical depend on specific CHD) that will have different outcomes. making any assumptions based on *umbrella term*, on *subgroup of diagnoses*, is extremely misguided.

some people with CHDs do have huge limitations in physical activity. some people with CHDs do have neurological/cognitive/mental disabilities. due to comorbidities (CHDs are often comorbid with developmental disabilities and other disabilities), due to effects of surgery (anesthesia may cause brain damage, long recovery with lots of limitations may alter gaining skills and learning things and more), due to low oxygenation that may cause brain damage. some people with CHDs may have other disabilities unrelated (or seemingly unrelated) with their CHDs and have limitations/support needs/struggles because of them.

some people with CHDs can successfully recover with little-to-no after-effects and complications. some CHDs may even disappear on their own! (like patent foramen ovale or small septal defects may close without intervention).

some people with CHDs can and want to achieve lots of things. some people with CHDs can't and/or don't want to.

people with CHDs can have *any* support needs, *any* quality of life, *any* challenges & achievements & difficulties & everything. our experiences vary *widely*.

we shouldn't be presumed incapable and/or incompetent just by our *umbrella diagnosis*. and if we actually *can't* do something and *need* support, we deserve our needs to be met and deserve being treated with respect. we don't deserve to get unwanted pity, unwanted infantilization, all this shit.

we shouldn't be expected to achieve whatever people want us to achieve for being good inspiration (tm). our discomfort shouldn't be ignored. our needs shouldn't be brushed off. our struggles should be taken seriously. and we should be informed about possible struggles, possible symptoms, warning signs, etc!

we are neither tragedy story nor inspiration porn. we are diverse group of people with diverse experiences. and we should be treated as individuals, in every sense.

[egg-noodle]

You had a stroke??

Yeah! Back in May 2021 I had an ischemic stroke while I was swimming on my lunch break. The damage was on the left side of my brain, which mainly affects language. I had aphasia and I couldn't move my tongue/cheeks/jaw or make any noises before I was treated. I had noninvasive heart surgery to close my PFO (patent foramen ovale/hole in the heart that the clot slipped through), but it was unfortunately unsuccessful. I attended speech therapy for about 3 months, and occupational therapy for 6 months. I'm still recovering and I do homework every day, but I've been told my recovery so far has been "textbook" :) I'd love it if everyone refreshed themselves on the symptoms of stroke! Remember: F. A. S. T. F: Face (are facial features behaving as they should? e.g. can they puff out their cheeks? Can they smile? Can they stick our their tongue?) A: Arms (can they raise their arms evenly? (Other tests can include spreading fingers as wide as they can or lifting their toes/feet while keeping their heels on the ground)) S: Speech (can they speak clearly? Can they understand you and/or can they respond?) T: Time (call emergency services as soon as possible!

[coochiequeens]

This article is from last year but since I posted about detransitioners earlier this week I think this is relevant

Testosterone Therapy in a Transgender Male Patient as a cause of Acute Ischemic Stroke (P2-5.011)

Christina Tan, Lauren Kim Sing, Ron Danziger, Alex Aw, Chae��Kim, Stephen Avila, Vilakshan Alambyan, Angud Mehdi, Michael Gezalian, Maranatha Ayodele, and Shahed ToossiAuthors Info & Affiliations

April 25, 2023 issue

Objective:

To share an intriguing case of a young transgender male patient receiving testosterone therapy who developed locked-in syndrome due to an acute ischemic stroke and to highlight potential risk factors for stroke in the LGBTQI+ community

Background:

There are many studies identifying risk factors for stroke in racially and ethnically diverse populations. However, there is little existing data for stroke risk factors in the LGBTQI+ community. Prior research has shown testosterone therapy in cis-gender men with initially low levels of testosterone increases the risk of stroke, especially in the first 2 years of use1. While testosterone therapy has been shown to increase the risk of venous thrombosis, its role in arterial thrombosis is unclear2. A proposed mechanism for thrombosis with testosterone replacement includes erythrocytosis, but the potential contribution of an independent pro-coagulant effect is yet to be determined3.

Design/Methods:

Literature review and case report.

Results:

An otherwise healthy 23-year-old transgender male on one year of testosterone therapy presented in an obtunded state. Examination revealed complete quadriplegia with sparing of vertical eye movements, consistent with locked-in syndrome. Imaging revealed complete occlusion of the basilar artery with distal reconstitution at the superior cerebellar arteries, and a large bilateral ischemic infarct of the pons. Computed tomography angiography did not demonstrate other large vessel disease or structural vascular abnormalities. Unfortunately, the patient was out of the time window for any acute stroke interventions. A hypercoagulable workup was performed but results were unrevealing and hematocrit was normal. Further investigation with transthoracic echocardiogram, transesophageal echocardiogram, and telemetry were negative for thrombus, patent foramen ovale, and atrial fibrillation.

Conclusions:

Acute ischemic stroke may be an under recognized complication of testosterone therapy in transgender males independent of degree of erythrocytosis. Further research is needed to establish a safety profile of testosterone therapy in this understudied population.

Disclosure: Dr. Tan has nothing to disclose. Mrs. Kim Sing has nothing to disclose. Dr. Danziger has nothing to disclose. Mr. AW has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Avila has nothing to disclose. Dr. Alambyan has stock in Teleflex. Dr. Alambyan has stock in Natera. Dr. Alambyan has stock in Labcorp. Dr. Alambyan has stock in Veracyte. Dr. Alambyan has stock in Vicarious Surgical. Dr. Alambyan has stock in Unity Biotechnology. Dr. Alambyan has stock in Scynexis. Dr. Alambyan has stock in Stryker. Dr. Alambyan has stock in Eli Lilly. Dr. Alambyan has stock in DaVita. Dr. Alambyan has stock in Invitae. Dr. Alambyan has stock in Pfizer. Dr. Alambyan has stock in Bristol-Myers Squibb. Dr. Alambyan has stock in Johnson and Johnson. Dr. Alambyan has stock in Merck. Dr. Alambyan has stock in Medtronic. Dr. Alambyan has stock in AbbVie. The institution of Dr. Alambyan has received research support from Albert Einstein Healthcare Network. Dr. Mehdi has nothing to disclose. Dr. Gezalian has nothing to disclose. Dr. Ayodele has nothing to disclose. Dr. Toossi has nothing to disclose.

[hlaas]

The clinical and anatomical features of a live-born diprosopic lamb are described. There are no complete anatomical analyses of two-faced lambs in the literature despite the frequency of conjoined twinning in sheep. The lamb had two heads fused in the occipital region. Each head had two eyes. The pinnae of the medial ears were fused. Caudal to the neck the lamb appeared grossly normal. The lamb was unable to raise its heads or stand. Both heads showed synchronous sucking motions and cranial reflexes were present. Nystagmus, strabismus, and limb incoordination were present. The respiratory and heart rates were elevated. There was a grade IV murmur over the left heart base and a palpable thrill on the left side. Each head possessed a normal nasopharynx, oropharynx, and tongue. There was a singular laryngopharnyx and esophagus although the hyoid apparatus was partially duplicated. The cranial and cervical musculature reflected the head duplications. The aortic trunk emerged from the right ventricle just to the right of the conus arteriosus. A ventricular septal defect, patent foramen ovale, and ductus arteriosus were present along with malformed atrioventricular valves. Brainstem fusion began at the cranial medulla oblongata between cranial nerves IX and XII. The cerebella were separate but small. The ventromedial structures from each medulla oblongata were compressed into an extraneous midline remnant of tissue which extended caudally to the level of T2. The clinical signs therefore reflected the anatomical anomalies. A possible etiology for this diprosopus might be the presence early in development of an excessively large block of chordamesoderm. This would allow for the formation of two head folds and hence two "heads."

[teachingrounds]

Q. What's the breakdown of anatomical defects of the septum between the upper chambers of the heart?

.

.

.

A. 75% of atrial septal defects (ASDs) are ostium secundum defects, including patent foramen ovales (PFOs) 20-25% are ostium primum defects or partial atrioventricular cushion, usually associated with Trisomy 21 5-10% are sinus venous defects

Pro-Tip: Ostium primum defects can distort the mitral valve, causing mitral regurgitation and yet another murmur.

[monicat-166]

Understanding Cardiac Health with Dr. Rajneesh Malhotra

Overview:

Cardiac surgery is an evolving discipline that is experiencing significant advancements. Robotically-assisted heart surgery, commonly known as closed-chest heart surgery, is a type of minimally invasive procedure performed by a cardiac surgeon. The surgeon utilizes a specialized computer console to control slender robotic arms. This groundbreaking technique has transformed the performance of certain heart surgeries. The technology allows surgeons to perform intricate cardiac operations with smaller incisions and greater accuracy, resulting in improved patient outcomes.

Types of robotically assisted heart surgeries:

Reconstruction of the mitral valve

Reconstruction of the tricuspid valve (conducted concurrently with mitral valve reconstruction)

Ablation procedure for atrial fibrillation (if additional robotic surgical intervention is required)

Repair of the atrial septal defect (ASD)

Closure of the patent foramen ovale (PFO)

Excision of cardiac tumors (such as myxoma and fibroelastoma)

With Dr. Rajneesh Malhotra best cardiothoracic surgeon in Delhi your heart is in safe hands

Dr. Rajneesh Malhotra top cardiac surgeon in India is at the forefront of treating cardiovascular and cardiothoracic disorders through the application of advanced innovations and techniques in heart surgery, including minimally invasive procedures. He is recognized both nationally and internationally for his groundbreaking cardiac surgeries performed on both adults and pediatric patients. Among the exceptional procedures conducted by his team of cardiac surgeons are heart tumor surgery, ROSS surgery, minimally invasive cardiac surgery, and complex valve replacements.

Dr. Rajneesh Malhotra Max Hospital Mumbai prioritizes the highest standards of cardiac care, focusing on safety and design to reduce the risk of infection in the operating environment. This commitment allows him to perform surgeries on patients of all ages, from infants to the elderly. He provides world-class medical services and ensures thorough post-operative care until complete recovery is attained. Dr. Rajneesh Malhotra top cardiac surgeon in India is also dedicated to empowering families with the essential information needed to make informed decisions regarding their child's health.

Dr. Rajneesh Malhotra is an expert cardiologist offering the most advance techniques in the country.

Dr. Rajneesh Malhotra Max Hospital Mumbai aspires to assume a prominent role in cardiovascular training on both national and international platforms. He is recognized for his expertise in minimally invasive mitral valve replacement and repair procedures. Dr. Rajneesh Malhotra top cardiac surgeon in India has gained acclaim not only within India but also globally for his leadership and proficiency in diagnosing, managing, and treating a wide range of conditions affecting patients across all age groups.

Driven by his commitment to delivering exceptional care, he invests in cutting-edge technologies, staff training, and service enhancement. Dr. Rajneesh Malhotra Max Hospital Mumbai provides his patients with world-class medical services and ensures comprehensive post-operative care until full recovery is achieved. The success rates of his cardiovascular surgeries are among the highest in the nation. Dr. Rajneesh Malhotra top cardiac surgeon in India is devoted to equipping families with the essential information needed to make informed decisions regarding their children's health.

How to get in touch with best cardiothoracic surgeon in Delhi

India cardiac surgery service is dedicated to facilitating medical treatment in India, ensuring that patients receive high-quality healthcare at premier medical facilities across the nation. As a distinguished provider in the medical field, India cardiac surgery service coordinates appointments with Dr. Rajneesh Malhotra Max hospital Mumbai. The organization offers extensive support for both successful and cost-effective cardiac surgeries in India. It guarantees equitable pricing for all medical procedures, treating domestic and international patients without bias. Committed to patient care, India cardiac surgery service supports individuals throughout their entire journey, prioritizing their safety and well-being until they return to their homes. The organization is motivated by its dedication to enhancing patient health.

[drravindersinghrao]

Best Cardiologist Expert in India and Structural Heart Disease Specialist – Dr. Ravinder Singh Rao

India has emerged as a global hub for advanced medical treatments, particularly in cardiology. Among the leading names in this domain, Dr. Ravinder Singh Rao stands out as a pioneer in structural heart disease and interventional cardiology. With unparalleled expertise and a commitment to patient care, Dr. Rao has revolutionized the treatment landscape for complex heart conditions, making him the best cardiologist expert in India.

Understanding Structural Heart Disease

Structural heart disease refers to abnormalities in the heart's structure, including its valves, walls, and chambers. These can be congenital (present at birth) or acquired due to aging, infections, or other conditions. Common structural heart conditions include:

Aortic Stenosis: Narrowing of the aortic valve, restricting blood flow.

Mitral Valve Regurgitation: Leakage of blood back into the heart due to valve malfunction.

Atrial Septal Defects (ASD): A hole in the wall separating the heart's upper chambers.

Patent Foramen Ovale (PFO): An opening in the heart that fails to close after birth.

Dr. Ravinder Singh Rao specializes in diagnosing and treating these conditions using minimally invasive techniques.

Why Choose Dr. Ravinder Singh Rao?

Dr. Ravinder Singh Rao is renowned for his dedication to advancing interventional cardiology and structural heart disease management in India. Here’s why he is recognized as the best cardiologist expert in India:

1. Unmatched Expertise

Dr. Rao has extensive experience in performing complex procedures such as:

TAVR (Transcatheter Aortic Valve Replacement): A minimally invasive procedure for aortic stenosis.

MitraClip Therapy: A cutting-edge treatment for mitral valve regurgitation.

Balloon Valvuloplasty: A procedure to open narrowed heart valves.

2. Pioneering Innovative Techniques

Dr. Rao has introduced several advanced techniques to India, reducing recovery time and improving outcomes for patients with structural heart diseases.

3. Global Recognition

Dr. Ravinder Singh Rao’s contributions to cardiology have earned him recognition at international platforms. He collaborates with leading institutions worldwide, ensuring that his patients receive world-class care.

4. Patient-Centric Approach

What sets Dr. Rao apart is his compassion and commitment to personalized care. He ensures that every patient fully understands their condition and the available treatment options.

Advanced Procedures Offered by Dr. Ravinder Singh Rao

Dr. Rao employs state-of-the-art technology and minimally invasive methods to treat heart diseases. Some of the advanced procedures include:

1. Transcatheter Aortic Valve Replacement (TAVR)

TAVR is a groundbreaking procedure for patients with severe aortic stenosis who are at high risk for open-heart surgery. Dr. Rao is one of the foremost practitioners of TAVR in India, providing hope to countless patients.

2. Mitral Valve Repair and Replacement

Using techniques like MitraClip therapy, Dr. Rao offers effective solutions for mitral valve regurgitation, ensuring quicker recovery and improved quality of life.

3. Atrial Septal Defect (ASD) Closure

Dr. Rao uses catheter-based techniques to close holes in the heart, eliminating the need for invasive surgery.

4. Balloon Valvuloplasty

This procedure helps improve blood flow by widening narrowed valves, offering immediate relief to patients with valve-related issues.

Achievements and Contributions

Dr. Ravinder Singh Rao’s illustrious career is marked by numerous milestones:

Successfully treated thousands of patients with structural heart diseases.

Published research papers in prestigious international journals.

Conducted workshops and training programs to mentor young cardiologists.

Recipient of multiple awards recognizing his contributions to interventional cardiology.

Why India for Cardiac Care?

India has become a preferred destination for heart treatments due to:

Affordable Costs: High-quality care at a fraction of the cost compared to Western countries.

World-Class Facilities: Hospitals equipped with advanced technology.

Experienced Specialists: Experts like Dr. Ravinder Singh Rao, who bring global expertise to Indian patients.

Consultation and Appointments

Patients from across India and abroad seek Dr. Rao’s expertise for their heart health needs. His clinic is equipped with the latest diagnostic tools to provide accurate assessments and tailor-made treatment plans.

How to Book an Appointment

To consult with Dr. Ravinder Singh Rao, you can:

Visit His Clinic: Located in Jaipur, Rajasthan.

Book Online: Through his official website or affiliated hospital portals.

Contact His Team: Dedicated support for international and domestic patients.

Conclusion When it comes to heart health, choosing the right specialist can make all the difference. With his unmatched expertise in structural heart disease and interventional cardiology, Dr. Ravinder Singh Rao is the trusted name for advanced cardiac care in India. His innovative treatments and patient-focused approach ensure the best outcomes for those in need of expert care.

[michaelgabrill]

Assessment of PFO as Related to DCS in the Spaceflight Environment and During Ground Testing

In June 2024, the NASA Office of the Chief Health and Medical Officer (OCHMO) Standards Team hosted an independent assessment working group to review the status and progress of research and clinical activities intended to mitigate the risk of decompression sickness (DCS) related to patent foramen ovale (PFO) during spaceflight and associated ground testing and […] from NASA https://ift.tt/7AUvFzk