Patent foramen ovale is not a benign pathology in patients undergoing off-pump coronary artery bypass: A word of caution

Basit Öğe Kaydı
dc.contributor.authorÖzyüksel, Arda
dc.contributor.authorÇetin, Erdem
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:33Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:33Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000380575500087
dc.descriptionPubMed ID: 27423847
dc.description.abstractWe thank Bozinovski and Caton1 for their valuable article entitled ‘‘A Benign PFO in OPCAB Can Suddenly Take a Right Turn, but Maybe It Can’t Tolerate It.’’ They present a case with desaturation due to right-to-left shunt through a patent foramen ovale (PFO) during off-pump coronary artery bypass (OPCAB). Although rare, this is an extremely important problem in the OPCAB procedure. PFO is a frequent pathology with an estimated prevalence of 25%. 2 However, in cases without a known PFO, intermittent intra-atrial shunting due to an elevated right atrial pressure may be an important problem during OPCAB. Because most patients undergoing off-pump revascularization are high risk in terms of chronic obstructive pulmonary disease and elevated pulmonary artery pressures, opening of a PFO is not infrequent when the right atrial pressure increases. This is particularly evident in cases with left and posterior wall revascularization due to positioning of the heart leading to right atrial compression. These patients are not always capable of tolerating decreases in systemic oxygenation and cyanosis due to right-to-left shunting
dc.identifier.citationÖzyüksel, A. ve Çetin, E. (2016). Patent foramen ovale is not a benign pathology in patients undergoing off-pump coronary artery bypass: A word of caution. Journal of Thoracic and Cardiovascular Surgery, 152(2), 640-641. https://dx.doi.org/10.1016/j.jtcvs.2016.03.062
dc.identifier.doi10.1016/j.jtcvs.2016.03.062
dc.identifier.endpage641
dc.identifier.issn0022-5223
dc.identifier.issn1097-685X
dc.identifier.issue2
dc.identifier.scopusqualityQ1
dc.identifier.startpage640
dc.identifier.urihttps://dx.doi.org/10.1016/j.jtcvs.2016.03.062
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3338
dc.identifier.volume152
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMosby Elsevier
dc.relation.ispartofJournal of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectForamen Ovale, Patent
dc.subjectStroke
dc.subjectOvale Closure
dc.titlePatent foramen ovale is not a benign pathology in patients undergoing off-pump coronary artery bypass: A word of caution
dc.typeLetter

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Özyüksel, A..pdf
Boyut:
334.06 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
Diğer Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu