Patent foramen ovale-related complications in left ventricular assist device patients: a reappraisal for cardiovascular professionals.
J Artif Organs
; 23(2): 98-104, 2020 Jun.
Article
in En
| MEDLINE
| ID: mdl-31463532
ABSTRACT
Left ventricular assist device (LVAD) implantation is an important treatment option for patients with advanced heart failure. The presence of a patent foramen ovale (PFO) may elicit undesired consequences in LVAD patients hypoxemia and paradoxical embolization. The variable physiological status of the patient with heart failure can make pre-LVAD implant identification of a PFO elusive. When identified pre- or intraoperatively, PFO is closed at time of LVAD implantation. In the case of delayed diagnosis, percutaneous PFO closure has proven to be a feasible and safe solution. As mechanical circulatory support gains prevalence, it is important to raise awareness of physiological implications of right-to-left shunt during mechanical circulatory support. We reviewed the diagnostic and therapeutic management of PFO in LVAD patients.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Foramen Ovale, Patent
/
Heart Failure
/
Hypoxia
Type of study:
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
J Artif Organs
Journal subject:
ENGENHARIA BIOMEDICA
Year:
2020
Document type:
Article
Affiliation country:
Italy