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Updated: Aug 25, 2026

Oxygenation-sensitive Cardiac MRI with Vasoactive Breathing Maneuvers for the Non-invasive Assessment of Coronary Microvascular Dysfunction
Published on: August 17, 2022
[Hypoxemia and stroke in a patient with a pacemaker]
Rosa M Jiménez1, Francisco Martín, Maximiliano Diego
1Servicio de Cardiología, Hospital Universitario de Salamanca, Spain. rosamj@eremas.com
Abstract:
We report a woman with a VVI pacemaker and a history of stroke and severe hypoxemia due to a right-to-left shunt. Anomalous blood flow was through a patent foramen oval, and was related directly with severe tricuspid regurgitation because the ventricular pacemaker electro de was adhered to the tricuspid valve. She was treated successfully with surgery. We review the role of patent foramen ovale from a clinical point of view, and current therapeutic options.
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