Hypoxemia complicating LVAD insertion: novel application of the Amplatzer PFO occlusion device.
We report a case of profound systemic hypoxemia complicating left ventricular assist device (LVAD) insertion due to right to left shunting through a patent foramen ovale (PFO) in association with a Chiari network. The patient was successfully managed with percutaneous closure of the interatrial defect using an Amplatzer PFO occlusion device and judicious reduction in LVAD flows.
Srinivas
Coimbatore V
CV
Department of Anesthesia, Toronto General Hospital, Toronto, Ontario, Canada.
Collins
Nicholas
N
Borger
Michael A
MA
Horlick
Eric
E
Murphy
Patricia M
PM
D021721:Balloon Occlusion; D002311:Cardiomyopathy, Dilated / Q000601:surgery; D002315:Cardiopulmonary Bypass / Q000295:instrumentation; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D000860:Hypoxia / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D018487:Ventricular Dysfunction, Left / Q000601:surgery