Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly
Ebstein anomaly is characterized by deformities of the anterior leaflet of the tricuspid valve and atrialization of the right ventricle. Patients with severe tricuspid regurgitation are recommended to have tricuspid valve surgery with concomitant atrial septal defect closure. A 73-year-old female wi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2015/531382 |
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| author | S. A. Zuberi S. Liu J. W. Tam F. Hussain D. Maguire M. Kass |
| author_facet | S. A. Zuberi S. Liu J. W. Tam F. Hussain D. Maguire M. Kass |
| author_sort | S. A. Zuberi |
| collection | DOAJ |
| description | Ebstein anomaly is characterized by deformities of the anterior leaflet of the tricuspid valve and atrialization of the right ventricle. Patients with severe tricuspid regurgitation are recommended to have tricuspid valve surgery with concomitant atrial septal defect closure. A 73-year-old female with Ebstein anomaly presented with severe hypoxemia. Transthoracic echocardiography revealed severe tricuspid regurgitation and a patent foramen ovale with right-to-left shunting. Complete percutaneous patent foramen ovale closure led to acute decompensation; however, partial closure led to hemodynamic stability and improved oxygenation. In conclusion, similar patients with “patent foramen ovale dependency” from longstanding shunts may benefit from partial patent foramen ovale closure. |
| format | Article |
| id | doaj-art-805f5ab1021845c6995239dd4b212f9c |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-805f5ab1021845c6995239dd4b212f9c2025-02-03T05:51:29ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/531382531382Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein AnomalyS. A. Zuberi0S. Liu1J. W. Tam2F. Hussain3D. Maguire4M. Kass5Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB, R2H 2A6, CanadaSection of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB, R2H 2A6, CanadaSection of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB, R2H 2A6, CanadaSection of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB, R2H 2A6, CanadaDepartment of Anesthesia and Preoperative Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB, R2H 2A6, CanadaSection of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB, R2H 2A6, CanadaEbstein anomaly is characterized by deformities of the anterior leaflet of the tricuspid valve and atrialization of the right ventricle. Patients with severe tricuspid regurgitation are recommended to have tricuspid valve surgery with concomitant atrial septal defect closure. A 73-year-old female with Ebstein anomaly presented with severe hypoxemia. Transthoracic echocardiography revealed severe tricuspid regurgitation and a patent foramen ovale with right-to-left shunting. Complete percutaneous patent foramen ovale closure led to acute decompensation; however, partial closure led to hemodynamic stability and improved oxygenation. In conclusion, similar patients with “patent foramen ovale dependency” from longstanding shunts may benefit from partial patent foramen ovale closure.http://dx.doi.org/10.1155/2015/531382 |
| spellingShingle | S. A. Zuberi S. Liu J. W. Tam F. Hussain D. Maguire M. Kass Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly Case Reports in Cardiology |
| title | Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly |
| title_full | Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly |
| title_fullStr | Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly |
| title_full_unstemmed | Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly |
| title_short | Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly |
| title_sort | partial pfo closure for persistent hypoxemia in a patient with ebstein anomaly |
| url | http://dx.doi.org/10.1155/2015/531382 |
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