Transcatheter closure of patent foramen ovale after left ventricular assist device implantation: intraoperative decision making.
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.
Kavarana
Minoo N
MN
Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA. mkavarana@att.net
Rahman
Faraaz A
FA
Recto
Michael R
MR
Dowling
Robert D
RD
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