• Rev Mal Respir · Jan 1992

    Review Case Reports

    [A rare and curable cause of acute respiratory insufficiency after a pneumonectomy. The platypnea-orthodeoxia syndrome by the reopening of the foramen ovale].

    • O Darremont, J Ordronneau, P Despins, G Dabouis, D Crochet, H Lacroix, S Chollet, and E Chailleux.
    • Unité de Soins Intensifs de Pneumologie, CHR Nantes.
    • Rev Mal Respir. 1992 Jan 1;9(5):557-8.

    AbstractWe describe a case of a 54 year old patient who had developed a right to left shunt due to a patent foramen ovale as a late consequence of a pneumonectomy; this was responsible for acute respiratory insufficiency and respiratory failure. This is a rare complication, but its clinical presentation as platypnea-orthodeoxia should lead to the correct diagnosis. The diagnosis can be rapidly confirmed by a non-invasive examination, namely contrast echocardiography, coupled with color doppler. The treatment is surgical with excellent results. The pathophysiological mechanism is also discussed.

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