| Percutaneous left ventricular assist device complicated by a patent foramen ovale: importance of identification and management. | |
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MedLine Citation:
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PMID: 17563095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Pranav Loyalka; Gary M Idelchik; Biswajit Kar |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2007-09-03 Completed Date: 2007-11-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 383-6 Citation Subset: IM |
Copyright Information:
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(c) 2007 Wiley-Liss, Inc. |
Affiliation:
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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 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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Catheter Cardiovasc Interv. 2007 Sep1;70(3):387
[PMID:
17722042
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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