Hypoxemia without persistent right-to-left pressure gradient across a patent foramen ovale:A clinical challenge

查看全文 作　　者：Sadip [1]Pant;Kevin [2]Hayes;Abhishek [2]Deshmukh;David L [2]Rutlen

机构地区：[1]Department of Internal Medicine,University of Arkansas for Medical Sciences,Little Rock,AR 72205,United States;[2]Division of Cardiovascular Medicine,University of Arkansas for Medical Sciences,Little Rock,AR 72205,United States

出　　处：《World Journal of Cardiology》索引2013年第5卷第7期,共4页

摘　　要：Patent foramen ovale (PFO) closure for systemic hypoxemia is controversial. The first systematic, albeit retrospective, study was recently presented which showed good procedural and clinical success for PFO closure for this indication. We present a case of acute right to left intra-cardiac shunt across PFO where the shunting is not persistent. Hence making a decision on PFO closure based on the aforementioned promising trial may not have been the right decision for the patient. This case highlights that the decision on PFO closure for such indication needs to be individualized. We also review the sparse literature on PFO closure for this indication and discuss how the decision making for such indication needs to be individualized. 关键词：Patent foramen ovale HYPOXEMIA Right-to-left SHUNT SHUNT closure Pulmonary EMBOLISM Atrial SEPTAL defect

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Hypoxemia without persistent right-to-left pressure gradient across a patent foramen ovale:A clinical challenge

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