Right-to-left Shunt Through a Patent Foramen Ovale Left Open in the Management of Acute Right Heart Failure After Heart Transplantation

Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey.
The Journal of heart and lung transplantation: the official publication of the International Society for Heart Transplantation (Impact Factor: 6.65). 02/2008; 27(1):135-7. DOI: 10.1016/j.healun.2007.09.024
Source: PubMed


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. © 2008 International Society for Heart and Lung Transplantation.

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    • "With growing experience, procedure-related death rates have been reduced to 5.4%, and the most suitable patient group has been identifi ed among patients with a mean right atrial pressure between 10 and 20 mm Hg (Klepetko et al 2004). Acute right heart failure after orthotopic heart transplantation was successfully managed by decompression of the RV through the patent foramen ovale of the donor heart and inhalation of iloprost (Ozdogan et al 2008). Both pericardiectomy and creation of atrial septal defects have been used in extreme cases of acute RV failure secondary to acute MI (Reynolds and Hochman, 2008). "
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