Percutaneous balloon valvuloplasty of the pulmonary valve: Role of right to left shunting through a patent foramen ovale

John W. Shuck; Daniel J. McCormick; Ira S. Cohen; William J. Oetgen; Jeffrey A. Brinker

doi:10.1016/S0735-1097(84)80330-7

Percutaneous balloon valvuloplasty of the pulmonary valve: Role of right to left shunting through a patent foramen ovale

John W. Shuck, Daniel J. McCormick, Ira S. Cohen, William J. Oetgen, Jeffrey A. Brinker

School of Medicine

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

Percutaneous balloon valvuloplasty was performed on a patient with pulmonary stenosis. Right to left shunting through a patent foramen ovale during balloon inflation was documented by contrast two-dimensional echocardiography. Right and left ventricular pressures recorded during balloon inflation showed a decrease in left ventricular end-diastolic pressure and equilibration with right ventricular end-diastolic pressure. Systemic hypotension was minimal during balloon inflation, possibly due to persistent filling of the left ventricle via the patent foramen ovale. Persistent right ventricular systolic hypertension immediately after valvuloplasty may have been due to infundibular narrowing and resolved on restudy 2 weeks later.

Original language	English (US)
Pages (from-to)	132-135
Number of pages	4
Journal	Journal of the American College of Cardiology
Volume	4
Issue number	1
DOIs	https://doi.org/10.1016/S0735-1097(84)80330-7
State	Published - 1984

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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abstract = "Percutaneous balloon valvuloplasty was performed on a patient with pulmonary stenosis. Right to left shunting through a patent foramen ovale during balloon inflation was documented by contrast two-dimensional echocardiography. Right and left ventricular pressures recorded during balloon inflation showed a decrease in left ventricular end-diastolic pressure and equilibration with right ventricular end-diastolic pressure. Systemic hypotension was minimal during balloon inflation, possibly due to persistent filling of the left ventricle via the patent foramen ovale. Persistent right ventricular systolic hypertension immediately after valvuloplasty may have been due to infundibular narrowing and resolved on restudy 2 weeks later.",

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AB - Percutaneous balloon valvuloplasty was performed on a patient with pulmonary stenosis. Right to left shunting through a patent foramen ovale during balloon inflation was documented by contrast two-dimensional echocardiography. Right and left ventricular pressures recorded during balloon inflation showed a decrease in left ventricular end-diastolic pressure and equilibration with right ventricular end-diastolic pressure. Systemic hypotension was minimal during balloon inflation, possibly due to persistent filling of the left ventricle via the patent foramen ovale. Persistent right ventricular systolic hypertension immediately after valvuloplasty may have been due to infundibular narrowing and resolved on restudy 2 weeks later.

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Percutaneous balloon valvuloplasty of the pulmonary valve: Role of right to left shunting through a patent foramen ovale

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