title: Amplatzer™ occlusion device implantation in a patient with biventricular HeartWare®.
abstract: There have been several reports of right-to-left shunting through patent foramen ovale (PFO) after implantation of a left ventricular assist device (LVAD). The atrial pressure changes after assist implantation leading to revelation of undetected PFOs may cause severe systemic hypoxemia. A percutaneous closure approach has been shown to be an adequate therapy option in patients with LVAD. We report a successful interventional occlusion of a PFO with right-to-left shunt in a patient with biventricular HeartWare® ventricular assist device (HVAD) support.
authors.affiliation: 1 Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg - Germany.
authors.forename: Rawa
authors.initials: R
authors.lastname: Arif
authors.forename: Arjang
authors.initials: A
authors.lastname: Ruhparwar
authors.forename: Klaus
authors.initials: K
authors.lastname: Kallenbach
authors.forename: Alexander
authors.initials: A
authors.lastname: Weymann
authors.forename: Bastian
authors.initials: B
authors.lastname: Schmack
authors.forename: Matthias
authors.initials: M
authors.lastname: Karck
authors.forename: Matthias
authors.initials: M
authors.lastname: Gorenflo
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D015199:Extracorporeal Membrane Oxygenation; D017809:Fatal Outcome; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D008297:Male; D055989:Septal Occluder Device; D055815:Young Adult