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Investigations revealed the presence of a large patent foramen ovale with right-to-left shunting on echocardiography and a shunt fraction of 21% on cardiac catheterization. Two months after the lung transplantation, primary surgical repair of the patent foramen ovale was performed with immediate improvement in oxygenation. Three years postoperatively, the patient remained oxygen independent.<\/jats:p>","DOI":"10.14503\/thij-23-8229","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T03:24:52Z","timestamp":1698117892000},"source":"Crossref","is-referenced-by-count":1,"title":["Patent Foramen Ovale\u2013Related Hypoxemia After Bilateral Lung Transplant"],"prefix":"10.14503","volume":"50","author":[{"given":"Lekhya","family":"Raavi","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pankaj","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Alomari","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishaq","family":"Wadiwala","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdy M.","family":"El-Sayed Ahmed","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida"},{"name":"Department of Surgery, Zagazig University Faculty of Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"1","key":"i1526-6702-50-5-e238229-b1","series-title":"Lung India","doi-asserted-by":"publisher","first-page":"47","DOI":"10.4103\/0970-2113.197116","article-title":"Mechanisms of hypoxemia","volume":"34","author":"Sarkar\n              M","year":"2017","unstructured":"Sarkar\n              M\n            , NiranjanN, BanyalPK. 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J Heart Lung Transplant. 2010;29(2):224-227. doi:10.1016\/j.healun.2009.09.009"},{"key":"i1526-6702-50-5-e238229-b6","series-title":"Int J Cardiol","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.ijcard.2019.11.088","article-title":"Patent foramen ovale prevalence in atrial fibrillation patients and its clinical significance; a single center experience","volume":"300","author":"Daher\n              G","year":"2020","unstructured":"Daher\n              G\n            , HassaniehI, MalhotraN, MohammedK, SwitzerMP, MehdiradA. Patent foramen ovale prevalence in atrial fibrillation patients and its clinical significance; a single center experience. 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