Author + information
- Received December 27, 1983
- Revision received July 17, 1984
- Accepted September 6, 1984
- Published online January 1, 1985.
- Ramesh C. Bansal, MD, FACC*,1,
- Robert J. Marsa, MD, FACC1,
- David Holland, MD1,
- Connie Beehler, MD1 and
- Philip M. Gold, MD1
- ↵*Address for reprints: Ramesh C. Bansal, MD, Division of Cardiology, Loma Linda University Medical Center, Loma Linda, California 92350.
A patient with recent inferior myocardial infarction with right ventricular involvement developed severe hypoxemia unresponsive to 100% oxygen. Contrast two-dimensional echocardiography revealed right to left shunting through an aneurysmal fossa ovalis with a patent foramen ovale. This was confirmed by cardiac catheterization. Surgical closure of the defect was probably life-saving. This case report illustrates that right to left shunting through a foramen ovale should be considered in the differential diagnosis of hypoxemia in patients presenting with inferior myocardial infarction.
- Received December 27, 1983.
- Revision received July 17, 1984.
- Accepted September 6, 1984.
- American College of Cardiology Foundation