Ovarian foramen undulant with a heart murmur usually requires treatment. The presence of a murmur in the heart in patients with patent foramen ovale may be a sign of abnormal blood flow. Tests such as cardiac ultrasound are needed to assess the severity of the condition, and if there are indications for surgery, early surgical intervention can be performed to prevent serious complications. Foramen ovale failure can lead to enlargement of the right heart due to the presence of hemodynamic abnormalities and eventually heart failure. Paradoxical embolism may occur in some patients, leading to cerebral embolism, which can be life-threatening in severe cases. Ovarian foramen undulare belongs to a type of congenital heart disease, belongs to the atrial septal defect, please consult the hospital in a timely manner, after a clear diagnosis should be under the guidance of the physician early treatment, to prevent the emergence of serious complications.