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Extreme exercise dislike of a toddler due to a patent foramen ovale

Part of: Interventional Cardiology

Published online by Cambridge University Press:  11 December 2018

Charlotte Grootaers ,
Mieke Roggen Open the ORCID record for Mieke Roggen [Opens in a new window]  and
Marc Gewillig
Charlotte Grootaers
Affiliation:
Fetal and Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
Mieke Roggen
Affiliation:
Fetal and Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
Marc Gewillig*
Affiliation:
Fetal and Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
*
Author for correspondence: M. Gewillig, MD, PhD, Pediatric and Congenital Cardiology, Universitair Ziekenhuis Leuven, Herestraat 49, 3000 Leuven, Belgium. Tel: +32-16-343865; Fax: +32-16-343981; E-mail: marc.gewillig@uzleuven.be
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Abstract

A 5-year-old girl presented with chronic fatigue and extreme exercise intolerance. After countless doctor visits, investigations, and hospital admissions, striking desaturation during exercise test pointed to a cardiovascular problem. Desaturation as a result of right-to-left shunting through a patent foramen ovale during upright exercise was hypothesised. A cardiac catheterisation confirmed the presence of an unusually cranially located patent foramen ovale; the defect was subsequently closed. Physical re-evaluation 6 weeks later showed spectacular physical and mental improvement and stabile saturation during exercise.

Keywords

patent foramen ovalechronic fatigueexercise intolerancecyanosisheart catheterisation
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 247 - 248
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Grootaers C, Roggen M, Gewillig M. (2018) Extreme exercise dislike of a toddler due to a patent foramen ovale. Cardiology in the Young page 247 of 248. doi: 10.1017/S1047951118002044

References

1. Johansson, M, Eriksson, P, Dellborg, M. The significance of patent foramen ovale, a current review of associated conditions and treatment. Int J Cardiol 2009; 134: 17–24.Google Scholar
2. Ptaszek, LM, Saldana, F, Palacios, IF, Wu, SM. Platypnea–orthodeoxia syndrome in two previously healthy adults: a case-based review. Clin Med Cardiol 2009; 3: 37–43.Google Scholar
3. Gomperts, N, Fowler, R, Horlick, E, McLaughlin, P. A broken heart: right-to-left shunting in the setting of normal cardiac pressures: a case report. Can J Cardiol 2008; 24: 227–229.Google Scholar
4. Menon, S, Grove, A, McFadden, M, Korgenski, K, Cowley, C. Clinical practice, resource utilization and outcomes of device closure of patent foramen ovale in pediatrics. Ped Neurol 2014; 50: 213–217.Google Scholar
5. Devendra, G, Rane, A, Krasuski, R. Provoked exercise desaturation in patent foramen ovale and impact of percutaneous closure. JACC: Cardiovasc Interv 2012; 5: 416–419.Google Scholar