Profound Hypoxemia Resulting from Shunting Across an Inadvertent Atrial Septal Tear after Left Ventricular Assist Device Placement

Anesthesia and Analgesia

Volumn 98, Issue 4, 2004, Pages 937-940

  Baker, James E ^a   Stratmann, Greg ^a   Hoopes, Charles ^b   Donateillo, R ^a   Tseng, Elaine ^b   Russell, I A ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CARDIOPULMONARY BYPASS; CASE REPORT; CORONARY ARTERY BYPASS GRAFT; DIAGNOSTIC IMAGING; HEART ASSIST DEVICE; HEART ATRIUM SEPTUM; HEART INJURY; HEART LEFT ATRIUM PRESSURE; HEART RIGHT ATRIUM PRESSURE; HEART RIGHT LEFT SHUNT; HEART SURGERY; HUMAN; HYPOXEMIA; IATROGENIC DISEASE; IMAGE ANALYSIS; MALE; PREOPERATIVE EVALUATION; PRESSURE GRADIENT; PRIORITY JOURNAL; SCREENING; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; WEANING;

EID: 1642461698     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000105861.99795.00     Document Type: Article

References (9)

1. Baldwin RT, Duncan JM, Frazier OH, Wilansky S. Patent foramen ovale: a cause of hypoxemia in patients on left ventricular support. Ann Thorac Surg 1991;52:865-7.
2. Shapiro GC, Leibowitz DW, Oz MC, et al. Diagnosis of patent foramen ovale with transesophageal echocardiography in a patient supported with left ventricular assist device. J Heart Lung Transplant 1995;14:594-7.
3. Kilger E, Strom C, Frey L, et al. Intermittent atrial level right-to-left shunt with temporary hypoxemia in a patient during support with a left ventricular assist device. Acta Anaesthesiol Scand 2000;44:125-7.
4. Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first ten decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984;59:17-20.
5. Konstadt SN, Louie EK, Black S, et al. Intraoperative detection of patent foramen ovale by transesophageal echocardiography. Anesthesiology 1991;75:212-6.
6. Lynch JJ, Schuchard GH, Gross CM, Wann LS. Prevalence of right-to-left atrial shunting in a healthy population: detection by Valsalva maneuver contrast echocardiography. Am J Cardiol 1984;53:1478-80.
7. Peters J, Fraser C, Stuart RS, et al. Negative intrathoracic pressure decreases independently left ventricular filling and emptying. Am J Physiol 1989;H120-31.
8. Opdyke DF, Brecher GA. Effect of normal and abnormal changes of intrathoracic pressure on effective right and left atrial pressures. Am J Physiol 1950;160:556-66.
9. Chen WJ, Kuan P, Lien WP, Lin FY. Detection of patient foramen ovale by contrast transesophageal echocardiography. Chest 1992; 101:1515-20.