Patent foramen ovale-related complications in left ventricular assist device patients: a reappraisal for cardiovascular professionals
Left ventricular assist device (LVAD) implantation is an important treatment option for patients with advanced heart failure. The presence of a patent foramen ovale (PFO) may elicit undesired consequences in LVAD patients: hypoxemia and paradoxical embolization. The variable physiological status of...
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| Veröffentlicht in: | Journal of artificial organs 2020-06, Vol.23 (2), p.98-104 |
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| container_title | Journal of artificial organs |
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| creator | Bacich, Daniela Fiorencis, Andrea Braggion, Gabriele Zuin, Marco Rigatelli, Gianluca |
| description | Left ventricular assist device (LVAD) implantation is an important treatment option for patients with advanced heart failure. The presence of a patent foramen ovale (PFO) may elicit undesired consequences in LVAD patients: hypoxemia and paradoxical embolization. The variable physiological status of the patient with heart failure can make pre-LVAD implant identification of a PFO elusive. When identified pre- or intraoperatively, PFO is closed at time of LVAD implantation. In the case of delayed diagnosis, percutaneous PFO closure has proven to be a feasible and safe solution. As mechanical circulatory support gains prevalence, it is important to raise awareness of physiological implications of right-to-left shunt during mechanical circulatory support. We reviewed the diagnostic and therapeutic management of PFO in LVAD patients. |
| doi_str_mv | 10.1007/s10047-019-01128-0 |
| format | Article |
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The presence of a patent foramen ovale (PFO) may elicit undesired consequences in LVAD patients: hypoxemia and paradoxical embolization. The variable physiological status of the patient with heart failure can make pre-LVAD implant identification of a PFO elusive. When identified pre- or intraoperatively, PFO is closed at time of LVAD implantation. In the case of delayed diagnosis, percutaneous PFO closure has proven to be a feasible and safe solution. As mechanical circulatory support gains prevalence, it is important to raise awareness of physiological implications of right-to-left shunt during mechanical circulatory support. 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The presence of a patent foramen ovale (PFO) may elicit undesired consequences in LVAD patients: hypoxemia and paradoxical embolization. The variable physiological status of the patient with heart failure can make pre-LVAD implant identification of a PFO elusive. When identified pre- or intraoperatively, PFO is closed at time of LVAD implantation. In the case of delayed diagnosis, percutaneous PFO closure has proven to be a feasible and safe solution. As mechanical circulatory support gains prevalence, it is important to raise awareness of physiological implications of right-to-left shunt during mechanical circulatory support. 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| source | SpringerNature Journals |
| subjects | Aneurysms Biomedical Engineering and Bioengineering Cardiac Surgery Complications Congestive heart failure Diagnostic systems Embolization Heart Heart failure Hypoxemia Implantation Medicine Medicine & Public Health Nephrology Physiology Review Ventricle |
| title | Patent foramen ovale-related complications in left ventricular assist device patients: a reappraisal for cardiovascular professionals |
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