title: Transcatheter closure of patent foramen ovale after left ventricular assist device implantation: intraoperative decision making.
abstract: The presence of a patent foramen ovale in patients with heart failure can be missed during echocardiography despite the use of provocative maneuvers. Implantation of a left ventricular assist device in these patients can result in right-to-left shunting and hypoxemia. We report the use of a percutaneous atrial septal defect closure device as an alternative to surgical closure.
authors.affiliation: Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA. mkavarana@att.net
authors.forename: Minoo N
authors.initials: MN
authors.lastname: Kavarana
authors.forename: Faraaz A
authors.initials: FA
authors.lastname: Rahman
authors.forename: Michael R
authors.initials: MR
authors.lastname: Recto
authors.forename: Robert D
authors.initials: RD
authors.lastname: Dowling
mesh_terms: D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged