Document Detail


Percutaneous left ventricular assist device complicated by a patent foramen ovale: importance of identification and management.
MedLine Citation:
PMID:  17563095     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recently, the TandemHeart percutaneous left ventricular assist device (pVAD) has become available as a means to both resuscitate and support patients in cardiogenic shock pending myocardial recovery or definitive surgical or percutaneous intervention. Hypoxia during pVAD support may arise from multiple pulmonary etiologies, including pulmonary edema and mechanisms resulting in right-to-left shunting. We report two cases of patients supported by pVADs in who patent foramen ovale (PFO) present as right-to-left shunts following initiation of TandemHeart support. A review of the mechanisms and hemodynamics resulting in PFO patency during pVAD support as well as suggestions for management are presented.
Authors:
Pranav Loyalka; Gary M Idelchik; Biswajit Kar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  70     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-03     Completed Date:  2007-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  383-6     Citation Subset:  IM    
Copyright Information:
(c) 2007 Wiley-Liss, Inc.
Affiliation:
Department of Heart Transplantation and Mechanical Support, Division of Cardiology, St. Luke's Episcopal Hospital and Texas Heart Institute, Houston, Texas 77030, USA. pranavloyalka@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Coronary Angiography
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Follow-Up Studies
Heart Catheterization
Heart Septal Defects, Atrial / complications*,  diagnosis
Heart-Assist Devices / adverse effects*
Humans
Male
Middle Aged
Myocardial Infarction / complications
Shock, Cardiogenic / complications,  therapy*
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2007 Sep1;70(3):387   [PMID:  17722042 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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