Potential Role of Patent Foramen Ovale in Exacerbating Hypoxemia in Chronic Pulmonary Disease
Patent foramen ovale has been associated with multiple pulmonary diseases, such as pulmonary hypertension, platypnea-orthodeoxia syndrome, and chronic obstructive pulmonary disease. A connection between patent foramen ovale and chronic pulmonary disease was first described more than 2 decades ago in...
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| Veröffentlicht in: | Texas Heart Institute journal 2017-06, Vol.44 (3), p.189-197 |
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| creator | Layoun, Michael E Aboulhosn, Jamil A Tobis, Jonathan M |
| description | Patent foramen ovale has been associated with multiple pulmonary diseases, such as pulmonary hypertension, platypnea-orthodeoxia syndrome, and chronic obstructive pulmonary disease. A connection between patent foramen ovale and chronic pulmonary disease was first described more than 2 decades ago in case reports associating patent foramen ovale with more severe hypoxemia than that expected based on the severity of the primary pulmonary disease. It has been suggested that patients with both chronic pulmonary disease and patent foramen ovale are subject to severe hypoxemia because of the right-to-left shunt. Furthermore, investigators have reported improved systemic oxygenation after patent foramen ovale closure in some patients with chronic pulmonary disease. This review focuses on the association between chronic pulmonary disease and patent foramen ovale and on the dynamics of a right-to-left shunt, and it considers the potential benefit of patent foramen ovale closure in patients who have hypoxemia that is excessive in relation to the degree of their pulmonary disease. |
| doi_str_mv | 10.14503/THIJ-16-6027 |
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A connection between patent foramen ovale and chronic pulmonary disease was first described more than 2 decades ago in case reports associating patent foramen ovale with more severe hypoxemia than that expected based on the severity of the primary pulmonary disease. It has been suggested that patients with both chronic pulmonary disease and patent foramen ovale are subject to severe hypoxemia because of the right-to-left shunt. Furthermore, investigators have reported improved systemic oxygenation after patent foramen ovale closure in some patients with chronic pulmonary disease. This review focuses on the association between chronic pulmonary disease and patent foramen ovale and on the dynamics of a right-to-left shunt, and it considers the potential benefit of patent foramen ovale closure in patients who have hypoxemia that is excessive in relation to the degree of their pulmonary disease.</description><identifier>ISSN: 0730-2347</identifier><identifier>EISSN: 1526-6702</identifier><identifier>DOI: 10.14503/THIJ-16-6027</identifier><identifier>PMID: 28761399</identifier><language>eng</language><publisher>United States: Texas Heart® Institute, Houston</publisher><subject>Coronary Circulation ; Disease Progression ; Echocardiography, Doppler, Color ; Echocardiography, Three-Dimensional ; Foramen Ovale, Patent - complications ; Foramen Ovale, Patent - diagnostic imaging ; Foramen Ovale, Patent - physiopathology ; Foramen Ovale, Patent - therapy ; Hemodynamics ; Humans ; Hypoxia - diagnosis ; Hypoxia - etiology ; Hypoxia - physiopathology ; Hypoxia - therapy ; Male ; Middle Aged ; Pulmonary Circulation ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - diagnosis ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Pulmonary Disease, Chronic Obstructive - therapy ; Review ; Risk Factors ; Severity of Illness Index ; Treatment Outcome</subject><ispartof>Texas Heart Institute journal, 2017-06, Vol.44 (3), p.189-197</ispartof><rights>2017 by the Texas Heart® Institute, Houston 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-a24f513053850ea72b4b8b4bf1285a3371cf35d30621dc4f1c18cdde9c330f5d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505397/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505397/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27926,27927,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28761399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Layoun, Michael E</creatorcontrib><creatorcontrib>Aboulhosn, Jamil A</creatorcontrib><creatorcontrib>Tobis, Jonathan M</creatorcontrib><title>Potential Role of Patent Foramen Ovale in Exacerbating Hypoxemia in Chronic Pulmonary Disease</title><title>Texas Heart Institute journal</title><addtitle>Tex Heart Inst J</addtitle><description>Patent foramen ovale has been associated with multiple pulmonary diseases, such as pulmonary hypertension, platypnea-orthodeoxia syndrome, and chronic obstructive pulmonary disease. A connection between patent foramen ovale and chronic pulmonary disease was first described more than 2 decades ago in case reports associating patent foramen ovale with more severe hypoxemia than that expected based on the severity of the primary pulmonary disease. It has been suggested that patients with both chronic pulmonary disease and patent foramen ovale are subject to severe hypoxemia because of the right-to-left shunt. Furthermore, investigators have reported improved systemic oxygenation after patent foramen ovale closure in some patients with chronic pulmonary disease. This review focuses on the association between chronic pulmonary disease and patent foramen ovale and on the dynamics of a right-to-left shunt, and it considers the potential benefit of patent foramen ovale closure in patients who have hypoxemia that is excessive in relation to the degree of their pulmonary disease.</description><subject>Coronary Circulation</subject><subject>Disease Progression</subject><subject>Echocardiography, Doppler, Color</subject><subject>Echocardiography, Three-Dimensional</subject><subject>Foramen Ovale, Patent - complications</subject><subject>Foramen Ovale, Patent - diagnostic imaging</subject><subject>Foramen Ovale, Patent - physiopathology</subject><subject>Foramen Ovale, Patent - therapy</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Hypoxia - diagnosis</subject><subject>Hypoxia - etiology</subject><subject>Hypoxia - physiopathology</subject><subject>Hypoxia - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pulmonary Circulation</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - diagnosis</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Pulmonary Disease, Chronic Obstructive - therapy</subject><subject>Review</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Treatment Outcome</subject><issn>0730-2347</issn><issn>1526-6702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUU1PAjEQbYxGED16NT16We3Hdrt7MTEIgjGBGDyapnS7ULO7xXYh8O_tChI9TGYy7-XNyzwArjG6wzFD9H42Gr9EOIkSRPgJ6GJGwswROQVdxCmKCI15B1x4_4kQogSTc9AhKU8wzbIu-JjaRteNkSV8s6WGtoBT2W7g0DpZ6RpONjLsTQ0HW6m0m8vG1As42q3sVldGtkh_6WxtFJyuy8rW0u3gk_Faen0JzgpZen116D3wPhzM-qPodfI87j--RoqmvIkkiQuGKWI0ZUhLTubxPA1VYJIySSnHqqAspyghOFdxgRVOVZ7rTFGKigD0wMNed7WeVzpXwb-TpVg5UwU3wkoj_iO1WYqF3QjGwtGMB4Hbg4CzX2vtG1EZr3RZylrbtRc4Iyw8jSYoUKM9VTnrvdPF8QxG4icS0UYicCLaSAL_5q-3I_s3A_oNtReIQg</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Layoun, Michael E</creator><creator>Aboulhosn, Jamil A</creator><creator>Tobis, Jonathan M</creator><general>Texas Heart® Institute, Houston</general><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><scope>5PM</scope></search><sort><creationdate>201706</creationdate><title>Potential Role of Patent Foramen Ovale in Exacerbating Hypoxemia in Chronic Pulmonary Disease</title><author>Layoun, Michael E ; 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A connection between patent foramen ovale and chronic pulmonary disease was first described more than 2 decades ago in case reports associating patent foramen ovale with more severe hypoxemia than that expected based on the severity of the primary pulmonary disease. It has been suggested that patients with both chronic pulmonary disease and patent foramen ovale are subject to severe hypoxemia because of the right-to-left shunt. Furthermore, investigators have reported improved systemic oxygenation after patent foramen ovale closure in some patients with chronic pulmonary disease. This review focuses on the association between chronic pulmonary disease and patent foramen ovale and on the dynamics of a right-to-left shunt, and it considers the potential benefit of patent foramen ovale closure in patients who have hypoxemia that is excessive in relation to the degree of their pulmonary disease.</abstract><cop>United States</cop><pub>Texas Heart® Institute, Houston</pub><pmid>28761399</pmid><doi>10.14503/THIJ-16-6027</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Coronary Circulation Disease Progression Echocardiography, Doppler, Color Echocardiography, Three-Dimensional Foramen Ovale, Patent - complications Foramen Ovale, Patent - diagnostic imaging Foramen Ovale, Patent - physiopathology Foramen Ovale, Patent - therapy Hemodynamics Humans Hypoxia - diagnosis Hypoxia - etiology Hypoxia - physiopathology Hypoxia - therapy Male Middle Aged Pulmonary Circulation Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - diagnosis Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - therapy Review Risk Factors Severity of Illness Index Treatment Outcome |
| title | Potential Role of Patent Foramen Ovale in Exacerbating Hypoxemia in Chronic Pulmonary Disease |
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