Postoperative rescue closure of patent foramen ovale in the clinical setting of acute hypoxemic respiratory failure and stroke following coronary artery bypass surgery

• DOI: 10.4103/0971-9784.148328
• Publication Date: 2015-06-17T09:05:44Z
• Authors: JoséL Díaz-Gómez; Eduardo Rodrigues; Monica Mordecai; John Moss; RichardC Agnew; KeithR Oken
• Keywords: Stroke; Foramen ovale (heart)

We describe a case of intraoperative diagnosis and successful deferred percutaneous closure patent foramen ovale (PFO) in the clinical setting acute refractory hypoxemic respiratory failure new-onset ischemic stroke an elderly patient after coronary artery bypass graft. Perioperative morbidity (i.e. severe hypoxemia, worsening right ventricular dysfunction, embolic stroke) that is potentially related to intraoperatively diagnosed PFO during cardiac surgery can complicate management Intensive Care Unit perhaps affect patient's outcome. Although be challenging following surgery, it reasonable perioperative option.