Shunting Across a Latent Patent Foramen Ovale (PFO) in a Patient With Right Ventricular (RV) Infarction Improved With Impella.

impella rp patent foramen ovale refractory hypoxemia right ventricular infarction right-to-left shunt

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jan 2023
Historique:
accepted: 28 01 2023
entrez: 2 3 2023
pubmed: 3 3 2023
medline: 3 3 2023
Statut: epublish

Résumé

The right-to-left shunt (RTLS) through a latent patent foramen ovale (PFO) is a rare complication of right ventricle myocardial infarction (MI). Though a rare complication, the development of refractory hypoxemia after right ventricular MI should always alert clinicians to consider the possibility of shunting across PFO. Right-sided Impella (Impella RP) can be considered in such patients, which helps to decrease the elevated right heart pressure reducing the shunt, thereby providing a bridge to recovery.

Identifiants

pubmed: 36860226
doi: 10.7759/cureus.34302
pmc: PMC9969903
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e34302

Informations de copyright

Copyright © 2023, Gautam et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Interv Cardiol. 2022 Apr 08;17:e05
pubmed: 35474971
J Pers Med. 2022 Sep 09;12(9):
pubmed: 36143266
Cardiol Rev. 2019 Jan/Feb;27(1):34-40
pubmed: 29570476
Heart. 2005 Apr;91(4):438-40
pubmed: 15772190
JACC Case Rep. 2020 Feb 19;2(2):300-304
pubmed: 34317228
Clin Cardiol. 2000 Jul;23(7):473-82
pubmed: 10894433
JACC Case Rep. 2021 Aug 04;3(9):1174-1176
pubmed: 34401753
Int J Angiol. 2019 Jun;28(2):118-123
pubmed: 31384109
JACC Case Rep. 2021 Mar 03;3(9):1170-1173
pubmed: 34401752

Auteurs

Sudarshan Gautam (S)

Internal Medicine, Maimonides Medical Center, Brooklyn, USA.

Norbert Moskovits (N)

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Suvash Shrestha (S)

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Arjun Basnet (A)

Internal Medicine, Maimonides Medical Center, Brooklyn, USA.

Armando Seitllari (A)

Internal Medicine, Maimonides Medical Center, Brooklyn, USA.

Classifications MeSH