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Ann Thorac Surg 1999;67:546-548
© 1999 The Society of Thoracic Surgeons

Case Reports

Pitfalls of undetected patent foramen ovale in off-pump cases

Mohammed Akhter, MCha, Thomas Z. Lajos, MDa

a Department of Cardiothoracic Surgery, Buffalo General Hospital, State University of New York at Buffalo, Buffalo, New York, USA

Accepted for publication July 28, 1998.

Address reprint requests to Dr Lajos, 100 High St, Buffalo, NY 14203

We describe pitfalls of a hitherto undetected patent foramen ovale during the conduct of an off-bypass coronary revascularization. Manipulation of the heart resulted in right-to-left shunt and severe desaturation requiring institution of cardiopulmonary bypass to close the patent foramen ovale and complete the revascularization.




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