Patent foramen ovale presenting as refractory hypoxemia after heart transplantation

被引：16

作者：

Ouseph, R ^{[1
]}

Stoddard, MF ^{[1
]}

Lederer, ED ^{[1
]}

机构：

[1] Univ Louisville, Dept Med, Louisville, KY 40292 USA

来源：

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY | 1997年 / 10卷 / 09期

关键词：

D O I：

10.1016/S0894-7317(97)80014-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：973 / 976

页数：4

共 5 条

[1] THE INCIDENCE OF PATENT FORAMEN OVALE IN 1,000 CONSECUTIVE PATIENTS - A CONTRAST TRANSESOPHAGEAL ECHOCARDIOGRAPHY STUDY [J].