Literature DB >> 21761114

[Hypoxemia 4 month after right-sided pneumonectomy].

O Mühling1, M Koller, A Langbein, S Fröhner, B Schumacher, S Kerber.   

Abstract

A 64-year-old male reported worsening dyspnea four months after right-sided pneumonectomy, due to lung cancer. Platypneu-or-thodeoxie syndrome was suspected due to a decrease in oxygen-saturation while the patient was in upright position. The shift of the right hemidiaphragm and liver caused compression of the right atrium and a shunt over a persistent foramen ovale. The right-to-left shunt was proven during right heart catheter. Interventional closure of the shunt resulted in immediate improvement of arterial oxygenation and a decrease in dyspnea.

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Year:  2011        PMID： 21761114     DOI： 10.1007/s00108-010-2744-9

Source DB:  PubMed          Journal:  Internist (Berl)        ISSN： 0020-9554            Impact factor:   0.743


  5 in total

1.  Platypnea after pneumonectomy.

Authors:  R Begin
Journal:  N Engl J Med       Date:  1975-08-14       Impact factor: 91.245

2.  Transcatheter closure of patent foramen ovale in patients with platypnea-orthodeoxia: results of a multicentric French registry.

Authors:  P Guérin; V Lambert; F Godart; A Legendre; J Petit; F Bourlon; B De Geeter; A Petit; B Monrozier; A M Rossignol; M Jimenez; D Crochet; A Choussat; C Rey; J Losay
Journal:  Cardiovasc Intervent Radiol       Date:  2005 Mar-Apr       Impact factor: 2.740

3.  Dyspnoea and hypoxaemia after lung surgery: the role of interatrial right-to-left shunt.

Authors:  C Marini; M Miniati; N Ambrosino; B Formichi; L Tonelli; G Di Ricco; C Michelassi; S Giusti; I Spadoni
Journal:  Eur Respir J       Date:  2006-07       Impact factor: 16.671

Review 4.  Interatrial right-to-left shunting developing after pulmonary resection in the absence of elevated right-sided heart pressures. Review of the literature.

Authors:  F W Smeenk; P E Postmus
Journal:  Chest       Date:  1993-02       Impact factor: 9.410

5.  Haemodynamic complications after pneumonectomy: atrial inflow obstruction and reopening of the foramen ovale.

Authors:  Clemens Aigner; György Lang; Shahrokh Taghavi; Mir Ali Reza-Hoda; Gabriel Marta; Helmut Baumgartner; Walter Klepetko
Journal:  Eur J Cardiothorac Surg       Date:  2007-12-03       Impact factor: 4.191
  5 in total
  1 in total

1.  An unusual cause of respiratory failure in a colon cancer patient.

Authors:  María Sereno; Francisco Javier Montoro; Carlos Casanova; Gerardo Gutiérrez-Gutiérrez; Joaquín Ojeda; Enrique Sáenz Casado
Journal:  Mol Clin Oncol       Date:  2015-07-21
  1 in total

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