Four patients with pulmonary valve (PV) disease and patent foramen ovale (PFO) presented with dyspnea on exertion. Work-up revealed hypoxemia secondary to right-to-left intracardiac shunt. We demonstrate that correction of the primary culprit right heart overload lesion via PV replacement enabled safe PFO repair and resolution of hypoxemia.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541116PMC
http://dx.doi.org/10.14797/mdcvj.1153DOI Listing

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