PULMONARY EMBOLUS AND PATENT FORAMEN OVALE - A RARE CAUSE OF REFRACTORY HYPOXEMIA

Authors
BRYDON C FAWCETT WJ TREASURE T CLARKE JT
Citation
C. Brydon et al., PULMONARY EMBOLUS AND PATENT FORAMEN OVALE - A RARE CAUSE OF REFRACTORY HYPOXEMIA, British Journal of Anaesthesia, 71(2), 1993, pp. 298-300
Citations number
18
Categorie Soggetti
Anesthesiology
Journal title
British Journal of Anaesthesia → ACNP
ISSN journal
00070912
Volume
71
Issue
2
Year of publication
1993
Pages
298 - 300
Database
ISI
SICI code
0007-0912(1993)71:2<298:PEAPFO>2.0.ZU;2-H
Abstract
A patient with a large pulmonary embolus is described. The striking fe atures were those of cardiovascular stability with hypoxaemia and hype rcapnia. Cardiac catheterization confirmed the pulmonary embolus; in a ddition there was found to be a patent foramen ovale (PFO), causing a large right-to-left shunt. Removal of the pulmonary embolus and closur e of the PFO dramatically improved alveolar-arterial oxygen gradient a nd ventilatory requirements.