Pitfalls of undetected patent foramen ovale in off-pump cases |
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Authors: | Akhter M Lajos T Z |
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Affiliation: | Department of Cardiothoracic Surgery, Buffalo General Hospital, State University of New York at Buffalo, USA. |
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Abstract: | We describe pitfalls of a hitherto undetected patent foramen ovale during the conduct of an off-bypass coronary revascularization. Manipulation of the heart resulted in right-to-left shunt and severe desaturation requiring institution of cardiopulmonary bypass to close the patent foramen ovale and complete the revascularization. |
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