Brízido Catarina, Rocha Bruno, Strong Christopher, Aguiar Carlos
Cardiology, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal
Cardiology, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal.
BMJ Case Rep. 2021 Apr 1;14(4):e241585. doi: 10.1136/bcr-2021-241585.
We report a clinically significant right-to-left intracardiac shunt through a patent foramen ovale, diagnosed during investigations for hypoxemia and left ventricular dilation on the late postoperative period of a HeartMate3 implantation. We discuss diagnostic pitfalls and haemodynamic influences in this scenario, as well as the possibility of successful percutaneous treatment.
我们报告了一例通过卵圆孔未闭的具有临床意义的右向左心内分流,该分流在对HeartMate3植入术后晚期出现低氧血症和左心室扩张进行检查时被诊断出来。我们讨论了这种情况下的诊断陷阱和血流动力学影响,以及成功进行经皮治疗的可能性。