Mariko Morita, MD, Hiroshi Inoue, MD, Atsushi Amano, MD, PhD

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Presentation transcript:

Right-to-left shunt through patent foramen ovale during off-pump coronary artery bypass Mariko Morita, MD, Hiroshi Inoue, MD, Atsushi Amano, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 1, Pages e21-e22 (July 2016) DOI: 10.1016/j.jtcvs.2015.12.011 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Mid-esophageal bicaval view shows previously undetected PFO with no shunt flow. TEE, Transesophageal echocardiography; IAS, Interatrial septum; RA, right atrium; LA, left atrium; MI, mechanical index; TIS, soft tissue thermal index. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e21-e22DOI: (10.1016/j.jtcvs.2015.12.011) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Mid-esophageal bicaval view with color-flow Doppler. A, PFO with no shunt flow while the heart was in normal position. B, PFO with right-to-left shunt flow during heart lifting. TEE, Transesophageal echocardiography; IAS, Interatrial septum; RA, right atrium; LA, left atrium; MI, mechanical index; TIS, soft tissue thermal index. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e21-e22DOI: (10.1016/j.jtcvs.2015.12.011) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A 3-dimensional TEE image of PFO. A, Systolic phase. B, Diastolic phase. PFO was enlarged during diastolic phase. TEE, Transesophageal echocardiography; MI, mechanical index; TIS, soft tissue thermal index. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e21-e22DOI: (10.1016/j.jtcvs.2015.12.011) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Color-flow Doppler showing a right-to-left shunt flow through PFO during heart lifting. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e21-e22DOI: (10.1016/j.jtcvs.2015.12.011) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions