Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy.
Journal
Case reports in critical care
ISSN: 2090-6420
Titre abrégé: Case Rep Crit Care
Pays: United States
ID NLM: 101598416
Informations de publication
Date de publication:
2020
2020
Historique:
received:
03
10
2019
accepted:
27
01
2020
entrez:
10
3
2020
pubmed:
10
3
2020
medline:
10
3
2020
Statut:
epublish
Résumé
We describe a case of platypnea-orthodeoxia syndrome (POS) due to atrial septal defect (ASD) occurring in the early postoperative course of a right pneumonectomy. Deformation of the atrial septum after right pneumonectomy deviates the blood from the inferior vena cava to ASD during the sitting position creating, a massive right-to-left shunt. Diagnosis can initially be missed by making contrast bubble test through the superior vena cava. The atrial septal defect was then closed using the surgical technique, allowing an instantaneous improvement of hematosis.
Identifiants
pubmed: 32148972
doi: 10.1155/2020/4257185
pmc: PMC7054779
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4257185Informations de copyright
Copyright © 2020 Y. Bohren et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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