Development of severe and persistent hypoxemia seven months after orthotopic heart transplantation

Int J Cardiol. 2009 Mar 20;133(1):e6-8. doi: 10.1016/j.ijcard.2007.08.074. Epub 2008 Feb 20.

Abstract

We report the case of a 57-year-old man who underwent orthotopic heart transplantation because of prior myocardial infarction and cardiogenic shock. The patient developed refractory hypoxemia 7 months after transplantation, secondary to a right to left shunt across a patent foramen ovale related to severe tricuspid regurgitation resulting from repeated control biopsies. Percutaneous closure of the foramen ovale was performed.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Biopsy / adverse effects
  • Echocardiography
  • Foramen Ovale, Patent / diagnostic imaging
  • Foramen Ovale, Patent / etiology*
  • Foramen Ovale, Patent / surgery
  • Heart Transplantation / adverse effects*
  • Humans
  • Hypoxia / etiology*
  • Male
  • Middle Aged