Evidence map›Paper›PMID 41817485›Full record

ArticleJACC. Case reports2026

Immediate Reversal of Hypoxemia With PFO Closure in Carcinoid Heart Disease and Platypnea-Orthodeoxia Syndrome.

Jose F Eduardo, Jose-Alejandro Ramirez-Penuela, Fabricio Malaguez Webber, Jesse Medina, Joao Braghiroli, Camilo Gomez

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jose F EduardoUniversity of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address: jjeduardo9@med.miami.edu.
Jose-Alejandro Ramirez-PenuelaDepartment of Medicine, Universidad de Los Andes, Bogotá, Colombia.
Fabricio Malaguez WebberDivision of Cardiology, UHealth Jackson Health System, Miami, Florida, USA.
Jesse MedinaDepartment of Medicine, University of Miami & Jackson Health System, Miami, Florida, USA.
Joao BraghiroliDivision of Cardiology, UHealth Jackson Health System, Miami, Florida, USA.
Camilo GomezDivision of Cardiology, UHealth Jackson Health System, Miami, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracardiac shunting via a patent foramen ovale (PFO) is an under-recognized cause of refractory hypoxemia. CASE SUMMARY: A 48-year-old woman with metastatic gastric neuroendocrine tumor involving the tricuspid valve presented with recurrent shortness of breath and severe hypoxemia refractory to supplemental oxygen. Computed tomography angiography ruled out pulmonary embolism. Transthoracic echocardiography with a bubble study demonstrated an interatrial communication suggesting a PFO. Right heart catheterization showed bidirectional shunting. Intracardiac echocardiography confirmed the presence of a large PFO. The patient underwent percutaneous PFO closure with an Amplatzer PFO Occluder, resulting in marked improvement in oxygenation and resolution of respiratory failure. DISCUSSION: This case underscores the importance of considering intracardiac shunts in instances of unexplained refractory hypoxemia and demonstrates the efficacy of percutaneous PFO closure in treating this phenomenon. TAKE-HOME MESSAGES: Consider a PFO in persistent hypoxemia despite a negative pulmonary work-up. Timely percutaneous closure may lead to rapid, sustained improvement.

Indexed as

atrial septal defectcarcinoid heart diseasehemodynamicshypoxemiaintracardiac echocardiographyoccluderpatent foramen ovaleplatypnea-orthodeoxia syndromeright heart catheterizationtricuspid regurgitation

Identifiers

PMID41817485
PMCPMC13112587

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