Why surgery is not recommended for adults with unclosed foramen ovale

In adults, if surgery is not recommended, it indicates that the gap formed is small and does not have a direct impact on the cardiovascular system. Regular check-ups during daily life are sufficient.
Most cases of patent foramen ovale in adults are due to a congenital heart injury that caused the opening of the foramen ovale. Since mild patent foramen ovale does not directly affect the cardiovascular system and normal blood circulation, and the resulting vascular shunt and vascular pressure are small, most patients do not have obvious clinical symptoms, and therefore surgery is not recommended.
For adults with mild patent foramen ovale, regular follow-up cardiac ultrasound in the hospital can be used to observe the health of the heart and determine whether there is any serious vascular shunt or cardiac damage. If abnormal heart damage occurs in daily life and subsequent development, surgical treatment can be reconsidered.
Adults with patent foramen ovale can choose whether or not to undergo surgery on the advice of their doctor and undergo regular checkups.