Postoperative rescue closure of patent foramen ovale in the clinical setting of acute hypoxemic respiratory failure and stroke following coronary artery bypass surgery.
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Date
2015-01
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Abstract
We describe a case of intraoperative diagnosis and successful deferred percutaneous closure of a patent
foramen ovale (PFO) in the clinical setting of acute refractory hypoxemic respiratory failure and new‑onset
ischemic stroke in an elderly patient after coronary artery bypass graft. Perioperative morbidity (i.e. severe
hypoxemia, worsening right ventricular dysfunction, and embolic stroke) that is potentially related to
intraoperatively diagnosed PFO during cardiac surgery can complicate management in the Intensive
Care Unit and perhaps affect the patient’s outcome. Although the PFO closure can be challenging in the
clinical setting of hypoxemic respiratory failure and stroke following cardiac surgery, it can be a reasonable
perioperative option.
Description
Keywords
Coronary artery bypass graft, hypoxemia, patent foramen ovale, stroke
Citation
Díaz-Gómez José L, Rodrigues Eduardo, Mordecai Monica, Moss John, Agnew Richard C, Oken Keith R. Postoperative rescue closure of patent foramen ovale in the clinical setting of acute hypoxemic respiratory failure and stroke following coronary artery bypass surgery. Annals of Cardiac Anaesthesia. 2015 Jan-Mar ; 18(1): 91-94.