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European Heart Journal 1988 9(11):1230-1233;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Carkology

Breathlessness and hypoxaemia in the upright position after right pneumonectomy

P. VAN ROSSUM, H. W. M. PLOKKER and C. A. P. L. ASCOOP

Department of Cardiology, St Antonius Hospital Nieuwegein, The Netherlands

Received 11 August 1987; revised 12 May 1988; .

Dr H. W. M. Plokker, M.D. Dept.of Cardiology. St Antonius Hospital, P.O Box 2500. 3430 EM Nieuwegein, The Netherlands.

Abstract

Dyspnoea after pneumonectomy is considered to be rarely the result of an intracardiac shunt. We report on four patients who were suffering from the rare syndrome of breathlessness and hypoxaemia in the upright position after right pneumonectomy because of an open foramen ovale with a right to left shunt, although pressures in the right heart were normal. All patients showed striking arterial desaturation which responded insufficiently to breathing 100% oxygen. The arterial saturation became normal after surgical closure of the defect.

Key Words: Pneumonectomy, • patent foramen ovale, • hypoxaemia, • shunt.


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