Pitfalls of undetected patent foramen ovale in off-pump cases.
We describe pitfalls of a hitherto undetected patent foramen ovale during the conduct of an off-bypass coronary revascularization. Manipulation of the heart resulted in right-to-left shunt and severe desaturation requiring institution of cardiopulmonary bypass to close the patent foramen ovale and complete the revascularization.
Akhter
M
M
Department of Cardiothoracic Surgery, Buffalo General Hospital, State University of New York at Buffalo, USA.
Lajos
T Z
TZ
D000368:Aged; D000369:Aged, 80 and over; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D018615:Ultrasonography, Doppler, Color