Optimal Conservative Management Resolves Refractory Hypoxemia in Patient with Right Myocardial Infarction Complicated by PFOInduced Shunting
Date
2023-03-28Author
SURYONO
NAESILLA
WULANDARI, Pipiet
ARIYANTI, Dwi
MAULANA, Aditha Satria
JUNIOR, Narendra Wahyu
RAMADHAN, Hazbina Fauqi
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Show full item recordAbstract
Inferior myocardial infarction is often accompanied by infarction of the right ventricle
(RV). Uncommon RV infarction cases with patent foramen ovale (PFO) shunt, leading to
severe persistent hypoxemia even without any pulmonary embolism involvement and
often requiring invasive intervention, have been documented previously. We report a
patient with RV infarction and right-to-left shunt via PFO who improved with only early
revascularization and optimal standard treatment. This condition may not necessitate
any invasive intervention if it is treated and monitored per standard procedures. Clinicians
should consider the possibility of a right-to-left shunt in patients with RV infarction and
persistent hypoxemia to implement appropriate therapeutic interventions.
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