How to treat a patent foramen ovale (PFO) that hasn't closed

Patient's question:

Age and condition description: Patent foramen ovale with a 3 to 4 millimeter opening, never treated, the child is now 2 years old. Activity level is particularly high, similar to normal children. Past treatment history and effectiveness: No treatment has been administered. Desired help: How should it be treated? Is it okay not to treat?

Doctor's answer:

Hello, during the human fetal period, a small hole in the septum between the left and right atria allows blood to flow between the two atria. Later, when the pulmonary circulation is established, the hole closes. The foramen ovale usually closes within one year of age. If it does not close by the age of three, surgery may be required. So you don't need to worry—just follow up with regular cardiac ultrasound check-ups. Even if it doesn't close by age three, the surgical outcome is very good. It is recommended to first visit the hospital for a check-up to confirm the diagnosis, and then decide on the specific treatment method. In terms of diet, focus on strengthening nutrition.

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