Right-to-Left Flow Through a Patent Foramen Ovale in Acute Right Ventricular Infarction
| Autor: | A C Moulijn, Rudi De Paep, Inez Rodrigus, Herbert De Raedt, Bram J. Amsel |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.medical_treatment Right-to-left shunt Foramen secundum Critical Care and Intensive Care Medicine medicine.disease Revascularization Hypoxemia Shunt (medical) Surgery Shunting Coronary artery disease Internal medicine medicine.artery cardiovascular system Patent foramen ovale Cardiology Medicine cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest. 108:1468-1470 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.108.5.1468 |
| Popis: | Right-to-left shunting through a foramen ovale complicating acute right ventricular infarction and resulting in severe arterial hypoxemia has been described eight times before. Treatment strategies have often aimed at reducing the shunt. Four patients died. Less attention has been paid to attempts at revascularization and, despite a high incidence of atrioventricular conduction disturbances, to temporary dual-chamber pacing. We describe herein two patients with postcardiac surgical right ventricular infarction complicated by severe right-to-left interatrial shunting. Treatment strategy was aimed at improving right ventricular function, and right-to-left shunting ceased. All efforts should be directed at treating right ventricular dysfunction, which is the cause of the clinical picture, and not at reducing the shunt, which is a secondary phenomenon. |
| Databáze: | OpenAIRE |
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