Article Text

Download PDFPDF
Right ventricular diastolic dysfunction and patent foramen ovale causing profound cyanosis
  1. H Shnaider1,
  2. A Shiran1,
  3. A Lorber2
  1. 1Department of Cardiovascular Medicine, Lady Davis Medical Center, Carmel Hospital, Haifa, Israel
  2. 2Pediatric Cardiology Unit, Meyer Children’s Hospital, Rambam Medical Center, Haifa, Israel
  1. Correspondence to:
    Dr A Lorber
    Department of Pediatric Cardiology, Meyer Children’s Hospital, Rambam Medical Center, PO Box 9602, Haifa 31096, Israel;


A 73 year old woman presented with profound central cyanosis and a history of a minor stroke. She had normal heart morphology, normal pulmonary artery pressure, and a normal coronary angiography. A patent foramen ovale (PFO) with a massive right to left shunt was demonstrated at the atrial level, with normal pulmonary venous saturations and Po2 values. This rare, age related case of right ventricular diastolic dysfunction in a normotensive patient revealed a generous PFO allowing a pronounced right to left shunt.

  • patent foramen ovale
  • right ventricular diastolic dysfunction
  • cyanosis
  • right to left shunt
  • ASD, atrial septal defect
  • LV, left ventricular
  • PFO, patent foramen ovale
  • RV, right ventricular

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


Linked Articles