Patency of the foramen ovale is a common condition. In certain clinical settings it permits the development of right-to-left intracardiac shunting. A case is described of sudden, fatal hypoxemia due to shunting through a patent foramen ovale immediately following mitral valve replacement.

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http://dx.doi.org/10.1016/s0003-4975(10)65866-3DOI Listing

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