An Unexpected Cause of Hypoxemia After Left Pneumonectomy Due to Late Presentation of an Intracardiac Shunt: A Case Report and Review of the Literature

Assimakopoulou, Elena; Sanjay, O. P.

doi:10.1053/j.jvca.2014.11.016

Cited by 2 publications

(1 citation statement)

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“…The development of a significant right‐to‐left shunt through a PFO is described as a rare complication following right pneumonectomy, and only exceptional cases after left pneumonectomy or even after right lobectomy have been described. The pathogenetic explanations take into account the distorted cardiac anatomy developing after right pneumonectomy, as depicted in the CT scan images of our patient (Figure A,B).…”

Section: Discussionmentioning

confidence: 99%

Dyspnea following thoracostomy closure after right pneumonectomy: An uncommon echocardiographic diagnosis and therapeutic approach

et al. 2017

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Dyspnea and hypoxemia are common postoperative problems after pneumonectomy. One of the rarer causes of respiratory distress after right pneumonectomy is the development of a significant right-to-left shunt across a patent foramen ovale (PFO), which can evolve at a variable interval of time after the operation. We report here our experience with a patient who underwent right pneumonectomy, followed by several complications, and who presented severe dyspnea 7 months later, after the closure of a right thoracostomy. This report outlines the management of this challenging clinical condition; transesophageal echocardiography (TOE) provided a clear diagnosis and guided an effective percutaneous treatment.

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Section: Discussionmentioning

confidence: 99%