Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism

Circulation

Volumn 97, Issue 19, 1998, Pages 1946-1951

  Konstantinides, Stavros ^a,d   Geibel, Annette ^a,b   Kasper, Wolfgang ^a,b   Olschewski, Manfred ^a,b,c   Blümel, Liane ^a,b,c   Just, Hanjörg ^a,b,c  

^a Abteilung Innere Medizin III Kardiologie

^b Universitaetsklinik Freibure

^c St Josefs Hospital

^d UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Contrast media; Echocardiography; Embolism; Shunts

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTERY EMBOLISM; ARTICLE; BLEEDING; BRAIN EMBOLISM; DISEASE COURSE; ECHOCARDIOGRAPHY; ENDOTRACHEAL INTUBATION; FEMALE; HEART ATRIUM SEPTUM DEFECT; HUMAN; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MORTALITY; PREDICTION; PRIORITY JOURNAL; RESUSCITATION;

EID: 0032546634     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.97.19.1946     Document Type: Article

References (34)

1. Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc. 1984;59:17-20.
2. Meister SG, Grossman W, Dexter L, Dalen JE. Paradoxical embolism: diagnosis during life. Am J Med. 1972;53:292-298.
3. Chéng TO. Paradoxical embolism: a diagnostic challenge and its detection during life. Circulation. 1976;53:565-568.
4. Kronik G, Mösslacher H. Positive contrast echocardiography in patients with patent foramen ovale and normal right heart hemodynamics. Am J Cardiol. 1982;49:1806-1809.
5. Lynch JJ, Schuchard GH, Gross CM, Wann LS. Prevalence of rightto-left shunting in the healthy population: detection by Valsalva maneuver contrast echocardiography. Am J Cardiol. 1984;53:1478-1480.
6. Léchât P, Mas JL, Lascault G, Loron P, Theard M, Klimczac M, Drobinski G, Thomas D, Grosgogeat Y. Prevalence of patent foramen ovale in patients with stroke. N Engl J Med. 1988;318:1148-1152.
7. Webster MWI, Chancellor AM, Smith HJ, Swift DL, Sharpe DN, Bass MM. Patent foramen ovale in young stroke patients. Lancet. 1988;2: 11-12.
8. Di Tullio M, Sacco RL, Gopal A, Mohr JP, Homma S. Patent foramen ovale as a risk factor for cryptogenic stroke. Ann Intern Med. 1992;! 17: 461-465.
9. Kasper W, Geibel A, Tiede N, Just H. Patent foramen ovale in patients with hemodynamically significant pulmonary embolism. Lancet. 1992; 340:561-564.
10. Kasper W, Geibel A, Tiede N, Bassenge D, Kauder E, Konstantinides S, Meinertz T, Just H. Distinguishing between acute and subacute major pulmonary embolism by conventional and Doppler echocardiography. Br Heart J. 1993;70:352-356.
11. Kasper W, Meinertz T, Henkel B, Eissner D, Hahn K, Hofmann T, Zeiher A, Just H. Echocardiographic findings in patients with proven pulmonary embolism. Am Heart J. 1986;! 12:1284-1290.
12. Currie PJ, Seward JB, Chan KL, Fyfe DA, Hagler DJ, Mair DD, Reeder GS, Nishimura RA, Tajik AJ. Continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol. 1985;6:750-756.
13. Selby JB, Callcott F, Gordon L, Gardner J. Utility of Tc-99m DTPA aerosol inhalation scans following perfusion lung scans in the diagnosis of pulmonary embolism. Clin Nucl Med. 1990;15:143-149.
14. Dubourg O, Bourdarias JP, Farcot JC, Gueret P, Terdjman M, Ferner A, Rigaud M, Bardet JC. Contrast echocardiographic visualization of coughinduced right to left shunt through a patent foramen ovale. J Am Coll Cardiol. 1984;4:587-594.
15. Cohnheim J. Thrombose und Embolie: Vorlesung über allgemeine Pathologie. Berlin, Germany: Hirschwald; 1877;!: 134.
16. Thompson T, Evans W. Paradoxical embolism. Q J Med. 1930;23: 135-150.
17. Johnson BJ. Paradoxical embolism. J Clin Palhol. 1951;4:316-332.
18. Nellessen U, Daniel WG, Matheis G, Oelert H, Depping K, Lichtlen PR. Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery. J Am Coll Cardiol. 1985:5:1002-1004.
19. Loscalzo J. Paradoxical embolism: clinical presentation, diagnostic strategies, and therapeutic options. Am Heart J. 1986;! 12:141-145.
20. Nagelhout DA, Pearson AC, Labovitz AJ. Diagnosis of paradoxic embolism by transesophageal echocardiography. Am Heart J. 1991;121: 1552-1554.
21. Nelson CW, Snow FR, Barnett M, McRoy L, Wechsler AS, Nixon JV. Impending paradoxical embolism: echocardiographic diagnosis of an intracardiac thrombus crossing a patent foramen ovale. Am Heart J. 1991:122:859-862.
22. Hales CA, Johnson RA. Pulmonary thromboembolism and nonthromboembolic pulmonary vascular disease. In: Eagle KA, Haber E, DeSanctis RW, Austen WG, eds. Practice of Cardiology. 2nd ed. Boston, Mass: Litlle, Brown and Co; 1989:1299-1301.
23. Hausmann D, Mügge A, Bccht I, Daniel WG. Diagnosis of patent foramen ovale by transesophageal echocardiography and association with cerebral and peripheral embolie events. Am J Cordial. 1992;70:668-672.
24. Movsowitz C, Podolsky LA, Meyerowitz CB, Jacobs LE, Kotler MN. Patent foramen ovale: a nonfunctional embryologie remnant or a potential cause of significant pathology? J Am Soc Echocardiogr. 1992;5:259-270.
25. Langholz D, Louie EK, Konstadt SN, Rao TLK, Scanion PJ. Transesophageal echocardiographic demonstration of distinct mechanisms for right to left shunting across a patent foramen ovale in the absence of pulmonary hypertension. J Am Coll Cardiol. 1991;18:1112-1117.
26. Keidar S, Grenadier E, Binenboim C, Palant A. Transient right to left atrial shunt detected by contrast echocardiography in the acute stage of pulmonary embolism. J Clin Ultrasound. 1984;12:417-4I9.
27. Higgins JR, Strunk BL, Schiller NB. Diagnosis of paradoxical embolism with contrast echocardiography. Am Heart J. 1984; 107:375-377.
28. Rodgers DM, Singh S, Meister SG. Contrast echocardiographic documentation of paradoxical embolism. Am Heart J. 1984;107:1270-1271.
29. Goldberger JJ, Himelman RB, Wolfe CL, Schiller NB. Right ventricular infarction: recognition and assessment of its hemodynamic significance by two-dimensional echocardiography. J Am Soc Echocardiogr. 1991;4: 140-146.
30. Feneley M, Gavaghan T. Paradoxical and pseudoparadoxical interventricular septal motion in patients with right ventricular volume overload. Circulation. 1986;74:230-238.
31. Konstantinides S, Geibel A, Kasper W, Olschewski M, Kienast J, Iversen S, Grosser KD. Predictors of in-hospital mortality in patients with acute massive pulmonary embolism: results of the Management and Prognosis of Pulmonary Embolism Registry. Circulation. 1996;94(suppl I):I-572. Abstract.
32. Konstantinides S, Geibel A, Olschewski M, Heinrich F, Grosser KD, Rauber K, Iversen S, Redecker M, Kienast J, Just H, Kasper W. Association between thrombolytic treatment and the prognosis of hemodynamically stable patients with major pulmonary embolism: results of a multicenter registry. Circulation. 1997;96:882-888.
33. Mclntyre KM, Sasahara AA. Hemodynamic and ventricular response to pulmonary embolism. Prog Cardiovasc Dis. 1974;17:175-178.
34. Kasper W. Konstantinides S, Geibel A, Tiede N, Krause T, Just H. Prognostic significance of right ventricular afterload stress detected by echocardiography in patients with clinically suspected pulmonary embolism. Heart. 1997:77:346-349.