Thank you very much for your reply. Can you please explain what you mean by "vascular problems?" Can you be a little more specific. I appreciate your help once again.
In terms of a PFO, it has been ruled out as a possibility. There was no shunting when they did the bubble test a couple weeks ago, which would indicate an aneurysm with no other abnormality.
The recurrent episodes of right eye visual disturbance are highly unlikely to be embolic in origin (coming from clots from the heart) as emboli would not be expected to affect the exact same artery repeatedly when they come from a distant source. Also, we are not certain whether an atrial septal aneurysm without a PFO is associated with an elevated risk of embolic phenomena. However, a more local cause is possible, such as a vascular problem, as are neurologic causes such as migraine. Migraine can be associated with PFO and also commonly causes visual disturbance that is consistent over time, and may not be accompanied by headache.
Your symptoms might warrant imaging of the brain and vasculature, and perhaps review by a neurologist.
Atrial septal aneurysms are not typically repaired during cardiac surgery. There are few if any data on the long-term outcomes of this.
If you would like to make an appointment at the Cleveland Clinic Heart and Vascular Institute, please call 1-800-CCF-CARE or inquire online at https://my.clevelandclinic.org/heart/default.aspx