Right-to-left shunt through a patent foramen ovale left open in the management of acute right heart failure after heart transplantation.
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.
Ozdogan
Mehmet Emin
ME
Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey.
Erer
Dilek
D
Iriz
Erkan
E
Oktar
Gursel Levent
GL
Kula
Serdar
S
Buyukates
Mustafa
M
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