Patent foramen ovale presenting as refractory hypoxemia after heart transplantation

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
R OusephE D Lederer

Abstract

Hypoxemia can be an early life-threatening complication of orthotopic heart transplantation. Commonly, hypoxemia after orthotopic heart transplantation is due to pulmonary hypertension or pulmonary complications. Rarely, structural defects either in the donor or recipient heart can lead to life-threatening hypoxemia. This case illustrates hypoxemia after orthotopic heart transplantation caused by the development of a right-to-left shunt through a patent foramen ovale in the recipient which had preoperatively been hemodynamically insignificant. The refractory hypoxemia required emergency surgical correction of the patent foramen ovale within the first postoperative week. In addition, this case illustrates the unique application of different methods of echocardiograms providing noninvasive diagnosis of structural defects in orthotopic heart transplantation.

References

Feb 1, 1993·Catheterization and Cardiovascular Diagnosis·M P O'LaughlinJ A Towbin

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Citations

May 14, 2003·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·J Thompson SullebargerKathryn L Gloer
Dec 11, 2007·International Journal of Cardiology·María MartínCésar Morís de la Tassa
Sep 12, 2007·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Gianluca RigatelliGiuseppe Faggian
Jul 9, 2009·Journal of Cardiac Surgery·Nishant KalraVincent L Sorrell
Mar 4, 2014·Journal of Cardiac Surgery·Petr FilaPetr Nemec
Sep 14, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Harish RamakrishnaJohn G T Augoustides
Aug 25, 2007·Anesthesia and Analgesia·Mikhail R Sukernik, Elliott Bennett-Guerrero
Apr 12, 2008·International Anesthesiology Clinics·John G T Augoustides, E Andrew Ochroch
Jan 16, 2009·Journal of Cardiovascular Medicine·Gianluca RigatelliAlessandro Mazzucco
Oct 30, 2001·Anesthesia and Analgesia·M R SukernikE Bennett-Guerrero

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