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Minoo N. Kavarana
Michael Bouvette
Robert D. Dowling
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Ann Thorac Surg 2006;82:1917-1918
© 2006 The Society of Thoracic Surgeons

How To Do It

Improved Technique to Diagnose a Patent Foramen Ovale During Left Ventricular Assist Device Insertion

Rana E. Majd, BSa, Minoo N. Kavarana, MDa, Michael Bouvette, MDb, Robert D. Dowling, MDa,*

a Division of Thoracic and Cardiovascular Surgery, Louisville, Kentucky
b Departments of Surgery and Anesthesiology, University of Louisville School of Medicine, Louisville, Kentucky

Accepted for publication September 9, 2005.

* Address correspondence to Dr Dowling, 201 Abraham Flexner Way, Suite 1200, Louisville, KY 40202. (Email: jwalsh{at}ucsamd.com).

Diagnosis of a patent foramen ovale prior to left ventricular assist device placement can be quite difficult, and if missed may result in a significant hypoxemia due to a right to left shunt. We describe a simple and precise way to increase the diagnostic accuracy of patent foramen ovale detection prior to initiating cardiopulmonary bypass for left ventricular assist device placement.






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