• Noelie Miton, François Godart, Guiti Milani, Zakaria Jalal, Clément Karsenty, Alban-Elouen Baruteau, Céline Gronier, Philippe Aldebert, Stéphanie Douchin, Hugues Lucron, Aurélie Chalard, Ali Houeijeh, Jérome Petit, Sébastien Hascoet, Jean-Benoit Thambo, and Claire Dauphin.
• Department of Cardiology, M3C Regional Reference CHD Centre, Gabriel Montpied University Hospital, 63000 Clermont-Ferrand, France.
• Arch Cardiovasc Dis. 2020 Aug 1; 113 (8-9): 513-524.

BackgroundClosure of patent foramen ovale is well-managed in adults, but is performed less frequently in children.AimTo analyse all patent foramen ovale closures performed in the past 20 years in French paediatric centres.MethodsRetrospective study of patent foramen ovale closures in children without cardiopathy in nine centres between 2000 and 2019.ResultsForty-one procedures were carried out in children (median age: 14.9 years). Thirty-one patent foramen ovales were closed after a transient ischaemic attack or stroke, six for a left-to-right shunt and four for other reasons. Transthoracic echocardiography was used for 72.2% of the diagnoses and transoesophageal echocardiography for 27.8%. A substantial degree of shunting was found in 42.9% of patients and an atrial septal aneurysm in 56.2%. General anaesthesia with transoesophageal echocardiography guidance was performed in 68.3% of the procedures; local anaesthesia and transthoracic echocardiography or intracardiac echocardiography was performed in 31.7%. The success rate was 100%. The median fluoroscopy time was 4.14minutes: 3.55minutes with transoesophageal echocardiography; and 4.38minutes with transthoracic echocardiography (P=0.67). There was only one periprocedural complication (2.4%). Postoperatively, 80,5% of patients were treated with aspirin and 12,2% with an anticoagulant. The rate of complete occlusion was 56.8% immediately after the procedure, 68.6% at 1 year and 92.3% at the last follow-up. There were no delayed complications or cases of recurrent stroke during follow-up (median follow-up: 568 days).ConclusionClosure of patent foramen ovale in children appears to be safe and effective, as we noted a low rate of immediate complications, no delayed complications and no stroke recurrence in this indication.Copyright © 2020 Elsevier Masson SAS. All rights reserved.

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