Right Ventricular Failure Following Patent Foramen Ovale Closure on Venovenous-Extracorporeal Membrane Oxygenation

Robert A. Hull; John C. Hunninghake; Robert J. Walter; Phillip E. Mason; Christopher A. Pickett; Kelvin N.V. Bush

doi:10.1016/j.jaccas.2020.10.014

Right Ventricular Failure Following Patent Foramen Ovale Closure on Venovenous-Extracorporeal Membrane Oxygenation

Robert A. Hull^*, John C. Hunninghake, Robert J. Walter, Phillip E. Mason, Christopher A. Pickett, Kelvin N.V. Bush

^*Corresponding author for this work

Brooke Army Medical Center (BAMC)

Research output: Contribution to journal › Article › peer-review

Abstract

We present a patient with pulmonary arterial hypertension requiring venovenous-extracorporeal membrane oxygenation for acute respiratory distress syndrome. Refractory hypoxemia secondary to right-to-left interatrial shunting via a patent foramen ovale was discovered. Right heart catheterization with invasive occlusion test heralded worsening right heart failure so closure was aborted. (Level of Difficulty: Intermediate.)

Original language	English
Pages (from-to)	2387-2393
Number of pages	7
Journal	JACC: Case Reports
Volume	2
Issue number	15
DOIs	https://doi.org/10.1016/j.jaccas.2020.10.014
State	Published - Dec 2020

Keywords

pulmonary hypertension
right ventricle
right-sided catheterization

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10.1016/j.jaccas.2020.10.014

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title = "Right Ventricular Failure Following Patent Foramen Ovale Closure on Venovenous-Extracorporeal Membrane Oxygenation",

abstract = "We present a patient with pulmonary arterial hypertension requiring venovenous-extracorporeal membrane oxygenation for acute respiratory distress syndrome. Refractory hypoxemia secondary to right-to-left interatrial shunting via a patent foramen ovale was discovered. Right heart catheterization with invasive occlusion test heralded worsening right heart failure so closure was aborted. (Level of Difficulty: Intermediate.)",

keywords = "pulmonary hypertension, right ventricle, right-sided catheterization",

author = "Hull, {Robert A.} and Hunninghake, {John C.} and Walter, {Robert J.} and Mason, {Phillip E.} and Pickett, {Christopher A.} and Bush, {Kelvin N.V.}",

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doi = "10.1016/j.jaccas.2020.10.014",

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AU - Hunninghake, John C.

AU - Walter, Robert J.

AU - Mason, Phillip E.

AU - Pickett, Christopher A.

AU - Bush, Kelvin N.V.

PY - 2020/12

Y1 - 2020/12

N2 - We present a patient with pulmonary arterial hypertension requiring venovenous-extracorporeal membrane oxygenation for acute respiratory distress syndrome. Refractory hypoxemia secondary to right-to-left interatrial shunting via a patent foramen ovale was discovered. Right heart catheterization with invasive occlusion test heralded worsening right heart failure so closure was aborted. (Level of Difficulty: Intermediate.)

AB - We present a patient with pulmonary arterial hypertension requiring venovenous-extracorporeal membrane oxygenation for acute respiratory distress syndrome. Refractory hypoxemia secondary to right-to-left interatrial shunting via a patent foramen ovale was discovered. Right heart catheterization with invasive occlusion test heralded worsening right heart failure so closure was aborted. (Level of Difficulty: Intermediate.)

KW - pulmonary hypertension

KW - right ventricle

KW - right-sided catheterization

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ER -

Right Ventricular Failure Following Patent Foramen Ovale Closure on Venovenous-Extracorporeal Membrane Oxygenation

Abstract

Keywords

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