title: Right-to-left shunt through a patent foramen ovale left open in the management of acute right heart failure after heart transplantation.
abstract: Severe pulmonary hypertension is a risk factor for mortality in heart transplantation due to elevated post-operative right heart failure. Various treatment modalities have been used in the management of pulmonary hypertension in the peri-operative period. We report a case of successful management of acute right heart failure after orthotopic heart transplantation by decompression of the right ventricle through the patent foramen ovale of the donor heart and inhalation of iloprost.
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey.
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Ozdogan
authors.forename: Dilek
authors.initials: D
authors.lastname: Erer
authors.forename: Erkan
authors.initials: E
authors.lastname: Iriz
authors.forename: Gursel Levent
authors.initials: GL
authors.lastname: Oktar
authors.forename: Serdar
authors.initials: S
authors.lastname: Kula
authors.forename: Mustafa
authors.initials: M
authors.lastname: Buyukates
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D054092:Foramen Ovale, Patent / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans