title: Suture-mediated closure of a patent foramen ovale during surgery without cardiopulmonary bypass.
abstract: A patent foramen ovale (PFO) is associated with an increased risk of recurrent ischemic strokes and transient ischemic attacks due to paradoxical emboli in patients with prior neurological events. We report a case of a surgical suture-mediated of a PFO closure without cardiopulmonary bypass in a patient with recurrent cerebral ischemic events, who was intolerant of medical therapy, was a poor candidate for catheter-based PFO closure, and presented as a potentially high risk for poor wound healing from traditional surgical closure.
authors.affiliation: Section of Interventional Cardiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.
authors.forename: Tobias T
authors.initials: TT
authors.lastname: Lee
authors.forename: Ralph
authors.initials: R
authors.lastname: De la Torre
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Carrozza
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D001024:Aortic Valve Stenosis / Q000628:therapy; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D023921:Coronary Stenosis / Q000628:therapy; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D015607:Stents; D013537:Sutures