A 64-year-old lady lying in supine position because multiple sclerosis, suffered a major stroke with no other plausible reasons but a hugc right-to-left shunt confirmed by transthoracic echocardiography as a patent fo...A 64-year-old lady lying in supine position because multiple sclerosis, suffered a major stroke with no other plausible reasons but a hugc right-to-left shunt confirmed by transthoracic echocardiography as a patent foramen ovale （PFO） with atrial septal aneurysm （ASA）. Further examination with transesophageal echocardiography was not possible because of hostile esophageal tract. During rehabilitation exercise protocol in upright position, the patient developed severe dyspnoea and hypoxaemia. The patient was taken into the catheterization lab and a right heart catheterization with intracardiac echocardiography and eventual closure of the interatrial communication was planned.展开更多
文摘A 64-year-old lady lying in supine position because multiple sclerosis, suffered a major stroke with no other plausible reasons but a hugc right-to-left shunt confirmed by transthoracic echocardiography as a patent foramen ovale （PFO） with atrial septal aneurysm （ASA）. Further examination with transesophageal echocardiography was not possible because of hostile esophageal tract. During rehabilitation exercise protocol in upright position, the patient developed severe dyspnoea and hypoxaemia. The patient was taken into the catheterization lab and a right heart catheterization with intracardiac echocardiography and eventual closure of the interatrial communication was planned.
