Potential Risk of Paradoxical Embolization during Use of a Left Ventricular Assist Device : A Case
نویسنده
چکیده
A patient undergoing left ventricular assist had a complicated post-operative course due to a patent foramen ovale. This presented as a right to left shunt with desaturation of the arterial blood, and possibly contributed to paradoxical embolization resulting in neurological complications and death. A method is presented to determine the presence of a patent foramen ovale during left ventricular assist. Possible sources of embolization are discussed. Address correspondence to: Brian McCloskey, BS, CCP Department of Anaesthesia Foothills Hospital 1403 -29th St. N.W. Calgary, Alberta, Canada, T2N 2T9 Volume 26, Number 1, 1994 THE jOURNAL OF EXTRA-CORPOREAL TECHNOLOGY
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