Compelling Argument for an Agitated Saline Bubble Study Prior to Cardiac Transplantation

Cardiac transplant recipients with patent foramen ovale (PFO) are at risk for right‐to‐left shunting. Failure to identify this abnormality can have serious posttransplant consequences. In this article, we describe a cardiac transplant recipient with hypoxemia where a PFO was diagnosed postoperativel...

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Veröffentlicht in:Journal of cardiac surgery 2009-07, Vol.24 (4), p.446-448
Hauptverfasser: Kalra, Nishant, Amabile, Orazio L., Copeland, Jack G., Sorrell, Vincent L.
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container_end_page 448
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container_title Journal of cardiac surgery
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creator Kalra, Nishant
Amabile, Orazio L.
Copeland, Jack G.
Sorrell, Vincent L.
description Cardiac transplant recipients with patent foramen ovale (PFO) are at risk for right‐to‐left shunting. Failure to identify this abnormality can have serious posttransplant consequences. In this article, we describe a cardiac transplant recipient with hypoxemia where a PFO was diagnosed postoperatively despite direct surgical investigation at the time of orthotopic heart transplantation (OHT). Transthoracic echocardiography with bubble study is relatively inexpensive, noninvasive, and simple and can be a useful method to identify PFO/atrial septal defect. Thus, authors recommend critically screening both donor and recipient hearts prior to OHT.
doi_str_mv 10.1111/j.1540-8191.2008.00766.x
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subjects Contrast Media
Echocardiography
Foramen Ovale, Patent - diagnosis
Heart Transplantation
Humans
Hypoxia - etiology
Magnetic Resonance Imaging, Cine
Male
Microbubbles
Middle Aged
Preoperative Care
Sodium Chloride
Tissue Donors
title Compelling Argument for an Agitated Saline Bubble Study Prior to Cardiac Transplantation
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