[Refractory arterial hypoxemia and interatrial right-left shunt in myocardial infarction of the right ventricle].
The authors report the case of a 63 year old woman who developed refractory arterial hypoxemia due to a right-to-left interatrial shunt through a patent foramen ovale during the acute phase of right ventricular infarction. The precarious haemodynamic condition of the patient contra-indicated surgical intervention and so the effects of the shunt were reduced by obstructing the atrial septal defect with the balloon of a Swan-Ganz catheter. The management of this type of shunt is discussed based on the degree of hypoxemia and the patient's haemodynamic status with reference to this particular case and a review of the literature.
Sterling
I
I
Unité coronaire, Hôpital universitaire Saint-Pierre, Bruxelles, Belgique.
Stevens
E
E
de Marneffe
M
M
Renard
M
M
Bernard
R
R
D002407:Catheterization, Swan-Ganz; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006352:Heart Ventricles; D006439:Hemodynamics; D006801:Humans; D000860:Hypoxia / Q000209:etiology* / Q000503:physiopathology; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*
Hypoxémie artérielle réfractaire et shunt interauriculaire droit-gauche au cours de l'infarctus myocardique du ventricule droit.