Cardiac device-induced right to left shunt causing significant hypoxemia: A case report and review of literature.
Diagnosis
Patent foramen ovale
Platypnea orthodeoxia syndrome
Shunt
Tricuspid valve
Journal
Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463
Informations de publication
Date de publication:
2022
2022
Historique:
received:
19
08
2022
accepted:
17
11
2022
entrez:
28
11
2022
pubmed:
29
11
2022
medline:
29
11
2022
Statut:
epublish
Résumé
We describe a patient where a pacemaker lead induced tricuspid valve changes that caused a right to left shunt through a preexisting patent foramen ovale resulting in significant hypoxemia. This event occurred years after the pacemaker had been placed. Surgical closure of the patent foramen ovale resolved the patient's hypoxemia and dyspnea. We also reviewed the previous cases published in the medical literature concerning significant hypoxemia from cardiac device-induced right to left shunts. Three of the four reported cased occurred 4 or more years after device placement. Therefore, late onset hypoxemia in setting of cardiac device placement without an alternative cause should raise the possibility of this complication.
Identifiants
pubmed: 36440305
doi: 10.1016/j.rmcr.2022.101784
pii: S2213-0071(22)00206-4
pmc: PMC9694373
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101784Informations de copyright
© 2022 The Authors. Published by Elsevier Ltd.
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