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[Hypoxemia 4 month after right-sided pneumonectomy]. / Hypoxämie 4 Monate nach rechtsseitiger Pneumektomie.
Mühling, O; Koller, M; Langbein, A; Fröhner, S; Schumacher, B; Kerber, S.
Affiliation
  • Mühling O; Fachbereich Kardiologie, Herz- und Gefäßklinik, Rhön Klinik AG, Salzburgerleite 1, 97616 Bad Neustadt Saale. olaf.muehling@kardiologie-bad-neustadt.de
Internist (Berl) ; 52(8): 1002-5, 2011 Aug.
Article in De | MEDLINE | ID: mdl-21761114
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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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pneumonectomy / Postoperative Complications / Carcinoma, Bronchogenic / Foramen Ovale, Patent / Lung Neoplasms / Hypoxia Type of study: Diagnostic_studies Limits: Humans / Male / Middle aged Language: De Journal: Internist (Berl) Year: 2011 Document type: Article
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pneumonectomy / Postoperative Complications / Carcinoma, Bronchogenic / Foramen Ovale, Patent / Lung Neoplasms / Hypoxia Type of study: Diagnostic_studies Limits: Humans / Male / Middle aged Language: De Journal: Internist (Berl) Year: 2011 Document type: Article