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Right-to-left shunt through a patent foramen ovale left open in the management of acute right heart failure after heart transplantation.

Abstract
Severe pulmonary hypertension is a risk factor for mortality in heart transplantation due to elevated post-operative right heart failure. Various treatment modalities have been used in the management of pulmonary hypertension in the peri-operative period. We report a case of successful management of acute right heart failure after orthotopic heart transplantation by decompression of the right ventricle through the patent foramen ovale of the donor heart and inhalation of iloprost.
AuthorsMehmet Emin Ozdogan, Dilek Erer, Erkan Iriz, Gursel Levent Oktar, Serdar Kula, Mustafa Buyukates
JournalThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation (J Heart Lung Transplant) Vol. 27 Issue 1 Pg. 135-7 (Jan 2008) ISSN: 1557-3117 [Electronic] United States
PMID18187100 (Publication Type: Case Reports, Journal Article)
Topics
  • Acute Disease
  • Adolescent
  • Decompression, Surgical (methods)
  • Female
  • Follow-Up Studies
  • Foramen Ovale, Patent (surgery)
  • Heart Failure (etiology, surgery)
  • Heart Septum (surgery)
  • Heart Transplantation (adverse effects)
  • Humans

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