Optimal Conservative Management Resolves Refractory Hypoxemia in Patient with Right Myocardial Infarction Complicated by PFO-Induced Shunting

Suryono; Naesilla; Pipiet Wulandari; Dwi Ariyanti; Aditha Satria Maulana; Narendra Wahyu Junior; Hazbina Fauqi Ramadhan

doi:10.14797/mdcvj.1191

$Optimal Conservative Management Resolves Refractory Hypoxemia in Patient with Right Myocardial Infarction Complicated by PFO-Induced Shunting Cover$

Optimal Conservative Management Resolves Refractory Hypoxemia in Patient with Right Myocardial Infarction Complicated by PFO-Induced Shunting

Methodist DeBakey Cardiovascular Journal

Volume 19 (2023): Issue 1

By: Suryono , Naesilla , Pipiet Wulandari , Dwi Ariyanti , Aditha Satria Maulana , Narendra Wahyu Junior and Hazbina Fauqi Ramadhan

Open Access

|Mar 2023

Abstract

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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Articles in this issue

DOI: https://doi.org/10.14797/mdcvj.1191 | Journal eISSN: 1947-6108

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Language: English

Page range: 20 - 25

Submitted on: Nov 21, 2022

Accepted on: Jan 9, 2023

Published on: Mar 27, 2023

Published by: Houston Methodist DeBakey Heart & Vascular Center

In partnership with: Paradigm Publishing Services

Keywords:

right ventricular infarction,

right-to-left intracardiac shunt,

patent foramen ovale,

hypoxemia

© 2023 Suryono, Naesilla, Pipiet Wulandari, Dwi Ariyanti, Aditha Satria Maulana, Narendra Wahyu Junior, Hazbina Fauqi Ramadhan, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.

Volume 19 (2023): Issue 1