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Emmy award-winning reporter John Biffar, hosts the local medical series Health Matters which airs on NBC2 News Today weekday mornings between 5-5:30 a.m. and during NBC2 News at 4:00 p.m.
 
 
 

      

Patent Foramen Ovale
February 22,  2009


During fetal development blood flows through a hole in your heart from the right chamber to the left. Dr. Elizabeth Cosmi-Cintron, a cardiologist on the medical staff of Lee Memorial Health System says, “However, when we’re born with the increased pressures coming into the left heart chamber, that passage way closes.” Once closed, the blood then runs from the right heart chamber through the lungs to the left heart chamber.

In about a third of the population, that passage way doesn’t close on its own. “That passageway still can continue to allow for blood to flow from the right heart chamber to the left heart chamber and that’s called a Patent Foramen Ovale,” says Dr. Cosmi-Cintron. This is a defect of the heart that works like a flap valve only opening in situations when there is added pressure inside the chest, such as coughing or sneezing.

If there is enough pressure, blood may travel from the right side of the heart directly to the left side and this could be dangerous if there is a clot. Dr. Steven Longobardi says, “This allows a communication potential clot to transfer from the right side of the heart to the left side of the heart where it can enter the circulation and then cause a mini stroke.”

Unfortunately that mini stroke may be the first and only symptom of a patent foramen ovale so it’s important to know the symptoms of a stroke. These warning signs include weakness of the face, arm or leg on one side of the body and loss of vision or speech.