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 |
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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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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. 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Thus, authors recommend critically screening both donor and recipient hearts prior to OHT.</description><subject>Contrast Media</subject><subject>Echocardiography</subject><subject>Foramen Ovale, Patent - diagnosis</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Hypoxia - etiology</subject><subject>Magnetic Resonance Imaging, Cine</subject><subject>Male</subject><subject>Microbubbles</subject><subject>Middle Aged</subject><subject>Preoperative Care</subject><subject>Sodium Chloride</subject><subject>Tissue Donors</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM9v2yAUx9G0qU27_gsTp93sPgzGcNghtdquU7d2Srb1hrDBEZl_pGBryX9fskTddVwe0vt8H7wPQphASuK5XKckZ5AIIkmaAYgUoOA83b5Bs9fGWzQDIXgCjMEpOgthDZBljMIJOiUyF5QTPkNP5dBtbNu6foXnfjV1th9xM3isezxfuVGP1uCFjn2Lr6aqai1ejJPZ4UfvIjUOuNTeOF3jpdd92LS6jxk39O_Ru0a3wV4c6zn6cXO9LD8n9w-3d-X8PqkZ5Dyh1oimaIyFouCZkdbkVGQFo0YKaSvJqcm5IbLIIgEEJDdVLTUlhDEDsqLn6ONh7sYPz5MNo-pcqONGurfDFBQvGGcykxEUB7D2QwjeNmrjXaf9ThFQe6tqrfby1F6e2ltVf62qbYx-OL4xVZ01_4JHjRH4dAD-uNbu_nuw-vJQLuIt5pND3oXRbl_z2v-O_6dFrn59u1Xfn64e8_zrUv2kL-PvlMI</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Kalra, Nishant</creator><creator>Amabile, Orazio L.</creator><creator>Copeland, Jack G.</creator><creator>Sorrell, Vincent L.</creator><general>Blackwell Publishing Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200907</creationdate><title>Compelling Argument for an Agitated Saline Bubble Study Prior to Cardiac Transplantation</title><author>Kalra, Nishant ; Amabile, Orazio L. ; Copeland, Jack G. ; Sorrell, Vincent L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4056-3ed8f7fde07762d9ed5382743d989eb963d56d1972e0701096dbc9a31144d09b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Contrast Media</topic><topic>Echocardiography</topic><topic>Foramen Ovale, Patent - diagnosis</topic><topic>Heart Transplantation</topic><topic>Humans</topic><topic>Hypoxia - etiology</topic><topic>Magnetic Resonance Imaging, Cine</topic><topic>Male</topic><topic>Microbubbles</topic><topic>Middle Aged</topic><topic>Preoperative Care</topic><topic>Sodium Chloride</topic><topic>Tissue Donors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kalra, Nishant</creatorcontrib><creatorcontrib>Amabile, Orazio L.</creatorcontrib><creatorcontrib>Copeland, Jack G.</creatorcontrib><creatorcontrib>Sorrell, Vincent L.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kalra, Nishant</au><au>Amabile, Orazio L.</au><au>Copeland, Jack G.</au><au>Sorrell, Vincent L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compelling Argument for an Agitated Saline Bubble Study Prior to Cardiac Transplantation</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2009-07</date><risdate>2009</risdate><volume>24</volume><issue>4</issue><spage>446</spage><epage>448</epage><pages>446-448</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>Cardiac transplant recipients with patent foramen ovale (PFO) are at risk for right‐to‐left shunting. 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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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