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

Autor:	Pernigo, Matteo, Canneto, Barbara, Betta, Davide, Molinari, Gionata, Ribichini, Flavio, Zannini, Guido, Vassanelli, Corrado, Rossi, Andrea
Předmět:	ATRIAL septal defects DYSPNEA ECHOCARDIOGRAPHY PNEUMONECTOMY TRANSESOPHAGEAL echocardiography WHITE people THORACOSTOMY
Zdroj:	Echocardiography; May2017, Vol. 34 Issue 5, p782-785, 4p
Abstrakt:	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. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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