SECONDARY OPEN FORAMEN OVALE – A CLINICAL CASE
Keywords:
foramen ovale/secondary openAbstract
We present a clinical case of a 78-year-old man with a history of experienced left ventricular anterior wall ST-elevation myocardial infarction (STEMI), single-branch coronary artery disease with percutaneous coronary intervention (PCI) and two drug-eluting stents implanted in a left anterior descending artery (LAD) who was admitted urgently for evidence of hypotension, new-onset dyspnea on minimal exertion, and oliguria. With Echocardiographic data of greatly reduced systolic function of the left ventricle and manifestations of heart failure. Known permanent atrial fibrillation, anticoagulated. Pulmonary thromboembolism was objectified from the conducted studies. In the course of the stay, an echocardiographic secondary open defect of the interventricular septum was detected at low pressure in the right cavities and a paroxysmal ischemic stroke was realized. After discussion by a multidisciplinary board of cardiologist, cardiac surgeon and anesthesiologist, the patient was judged to be high risk for operative treatment despite the possibility of Idarucizumab administration, a decision was made to continue the conservative approach until the patient's condition stabilizes. Despite the efforts of the entire team, the outcome of the disease for the patient was unfavorable.