Acute pulmonary embolism and a patent foramen ovale: analysis of atrial right-to-left shunting by biphasic transcardiopulmonary thermodilution curves

Jürgen Biermann; Tilmann Schwab; Dawit Assefa; Annette Geibel; Christoph Bode; Hans-Jörg Busch

doi:10.1016/j.jclinane.2009.05.009

Acute pulmonary embolism and a patent foramen ovale: analysis of atrial right-to-left shunting by biphasic transcardiopulmonary thermodilution curves

J Clin Anesth. 2010 Aug;22(5):367-9. doi: 10.1016/j.jclinane.2009.05.009.

Authors

Jürgen Biermann¹, Tilmann Schwab, Dawit Assefa, Annette Geibel, Christoph Bode, Hans-Jörg Busch

Affiliation

¹ Department of Cardiology and Angiology, Intensive Care Unit, University Hospital of Freiburg, 79106 Freiburg, Germany. juergen.biermann@uniklinik-freiburg.de

PMID: 20650385
DOI: 10.1016/j.jclinane.2009.05.009

Abstract

A 69-year-old woman with an acute pulmonary embolism developed an intracardiac right-to-left shunt, which was diagnosed early on and quantified via biphasic transcardiopulmonary thermodilution curves. With transesophageal echocardiography, a patent foramen ovale and an impressive atrial right-to-left shunt were visualized.

Publication types

Case Reports

MeSH terms

Aged
Echocardiography, Transesophageal / methods
Female
Foramen Ovale, Patent / diagnosis*
Foramen Ovale, Patent / pathology
Heart Atria / abnormalities*
Humans
Pulmonary Embolism / diagnosis*
Pulmonary Embolism / pathology
Thermodilution / methods