SCAI Clinical Practice Guidelines on Management of Patent Foramen Ovale-Case Presentation: Conditional Recommendation With Decision to Close

Case Presentation: Conditional Recommendation With Decision to Close

Video Transcription

Video Summary

In this video, the presenter discusses a case involving a scuba diver who experienced decompression illness. The presenter explains that while guidelines don't recommend routine PFO closure to prevent decompression illness, patients who value scuba diving and are willing to take the risks may choose to have their PFO closed. The patient in question is a 38-year-old engineer who had a history of decompression illness and also had migraines and a hypercoagulable history. After discussing the options, the patient chose to close his PFO, which was successful. He continued diving without recurrent symptoms of decompression illness and had fewer migraines in the past year.

Asset Subtitle

Jonathan M. Tobis, MD, MSCAI

Keywords

scuba diving

decompression illness

PFO closure

migraines

hypercoagulable history