{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:48:29Z","timestamp":1753890509154,"version":"3.41.2"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>The co-existence of atrial septal defect and coronary artery disease in a patient is rare in clinical practice. In the combined surgery of off-pump coronary artery bypass grafting and atrial septal defect closure, the unusual cardiac positions may affect the direction of blood shunting between the atriums, leading to more complex hemodynamic changes. Here, we report a case of a 67-year-old female who underwent refractory hypoxemia related to heart position in such a combined operation.<\/jats:p>","DOI":"10.3389\/fcvm.2023.1085755","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T11:59:35Z","timestamp":1690804775000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case report: Intraoperative reversal of flow through an atrial septal defect presenting as hypoxemia during off-pump coronary artery bypass grafting"],"prefix":"10.3389","volume":"10","author":[{"given":"Yun","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaorui","family":"Mi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1410","DOI":"10.1038\/nm.2538","article-title":"Atherosclerosis: current pathogenesis and therapeutic options","volume":"17","author":"Weber","year":"2011","journal-title":"Nat Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2660","DOI":"10.1093\/eurheartj\/ehab646","article-title":"Atrial septal defect in adulthood: a new paradigm for congenital heart disease","volume":"43","author":"Brida","year":"2022","journal-title":"Eur Heart J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1111\/j.1540-8191.2010.01110.x","article-title":"Coronary artery bypass grafting in adults with congenital heart disease","volume":"25","author":"Cui","year":"2010","journal-title":"J Card Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1727","DOI":"10.1016\/j.athoracsur.2009.12.044","article-title":"Off-pump coronary artery bypass grafting with device closure of atrial septal defect","volume":"90","author":"Hao","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.ihjccr.2017.10.006","article-title":"Combined percutaneous intervention of coronary artery disease and atrial septal defect","volume":"2","author":"Desabandhu","year":"2018","journal-title":"IHJ Cardiovasc Case Rep CVCR"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e81","DOI":"10.1016\/j.athoracsur.2010.12.039","article-title":"Monitoring cardiac output trends with end-tidal carbon dioxide pressures in off-pump coronary bypass","volume":"91","author":"Saleh","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1053\/j.jvca.2005.11.008","article-title":"Arterial-to-end-tidal carbon dioxide tension difference in children with congenital heart disease","volume":"20","author":"Choudhury","year":"2006","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"B8","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1016\/j.jclinane.2005.01.010","article-title":"Transesophageal echocardiographic and oxymetric evidence of intraoperative reversal of flow through a patent foramen ovale during an off-pump coronary artery bypass grafting","volume":"17","author":"Falcucci","year":"2005","journal-title":"J Clin Anesth"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1085755\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T11:59:49Z","timestamp":1690804789000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1085755\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,31]]},"references-count":8,"alternative-id":["10.3389\/fcvm.2023.1085755"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2023.1085755","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2023,7,31]]},"article-number":"1085755"}}