case_images: PMC4900318_01
case_images: Echocardiographic evaluation of patent foramen ovale after cardiopulmonary bypass. Indicated in bicaval view of color flow Doppler transesophageal echocardiography
case_images: ACA-18-91-g001.jpg
case_images: PMC4900318_01_ACA-18-91-g001.jpg
case_images: F1
case_images: PFO and right-to-left shunting [Figure 1] with normal left ventricular function and moderate RV dysfunction. Post-CPB was reported as follows, pH = 7.31; PaO2 = 82; PaCO2 = 42; HCO3 = 21; BE = -5 (while administering oxygen to a FIO2 of 1.0).
case_images: Noncontrast brain computed tomographic scan. Hypodensities apparent within right centrum semiovale, left anterior lentiform nucleus, left anterior capsule, and left caudate head. A indicates anterior; AS: anterosuperior; I: inferior; P: posterior; PI: posteroinferior; S: superior
case_images: ACA-18-91-g002.jpg
case_images: PMC4900318_01_ACA-18-91-g002.jpg
case_images: F2
case_images: A computed tomography scan of the brain showed an ischemic stroke of the artery of Heubner territory [Figure 2].
case_images: Postoperative closure of patent foramen ovale with amplatzer cribiform device. Bicaval view of transesophageal echocardiography
case_images: ACA-18-91-g003.jpg
case_images: PMC4900318_01_ACA-18-91-g003.jpg
case_images: F3
case_images: On postoperative day 7, our interventional cardiology team successfully closed the PFO with a 25-mm platzer Cribriform device AMPLATZERTM Multifenestrated Septal Occluder- "Cribiform" (Cribiform Occluder), AGA Medical corporation, Plymouth, MN, USA. [Figure 3].