PMC4900318_01
Echocardiographic evaluation of patent foramen ovale after cardiopulmonary bypass. Indicated in bicaval view of color flow Doppler transesophageal echocardiography
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F1
PFO and right-to-left shunting [Figure 1] with normal left ventricular function and moderate RV dysfunction. Post-CPB was reported as follows, pH = 7.31; PaO2 = 82; PaCO2 = 42; HCO3 = 21; BE = -5 (while administering oxygen to a FIO2 of 1.0).
Noncontrast brain computed tomographic scan. Hypodensities apparent within right centrum semiovale, left anterior lentiform nucleus, left anterior capsule, and left caudate head. A indicates anterior; AS: anterosuperior; I: inferior; P: posterior; PI: posteroinferior; S: superior
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F2
A computed tomography scan of the brain showed an ischemic stroke of the artery of Heubner territory [Figure 2].
Postoperative closure of patent foramen ovale with amplatzer cribiform device. Bicaval view of transesophageal echocardiography
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F3
On postoperative day 7, our interventional cardiology team successfully closed the PFO with a 25-mm platzer Cribriform device AMPLATZERTM Multifenestrated Septal Occluder- "Cribiform" (Cribiform Occluder), AGA Medical corporation, Plymouth, MN, USA. [Figure 3].