Follow-up to ‘Cholecystectomy in the presence of a large patent foramen ovale: laparoscopic or open?’

Based on the current literature and the current case, we conclude that 1) acute cholecystitis is best treated early, preferably during the initial presentation, as the likelihood of recurrent cholecystitis is significant; 2) maintaining a low threshold for converting to an open cholecystectomy is advised; 3) patients with PFO may tolerate pneumoperitoneum without increased risk of neurologic events; and 4) vigilance for perioperative events should be maintained at a high level.