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Arch Mal Coeur Vaiss · Mar 1990
Case Reports[Refractory arterial hypoxemia and interatrial right-left shunt in myocardial infarction of the right ventricle].
- I Sterling, E Stevens, M de Marneffe, M Renard, and R Bernard.
- Unité coronaire, Hôpital universitaire Saint-Pierre, Bruxelles, Belgique.
- Arch Mal Coeur Vaiss. 1990 Mar 1;83(3):425-7.
AbstractThe authors report the case of a 63 year old woman who developed refractory arterial hypoxemia due to a right-to-left interatrial shunt through a patent foramen ovale during the acute phase of right ventricular infarction. The precarious haemodynamic condition of the patient contra-indicated surgical intervention and so the effects of the shunt were reduced by obstructing the atrial septal defect with the balloon of a Swan-Ganz catheter. The management of this type of shunt is discussed based on the degree of hypoxemia and the patient's haemodynamic status with reference to this particular case and a review of the literature.
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