Transient right-to-left shunting through a patent foramen ovale secondary to unilateral diaphragmatic paralysis.
A 57 year old patient presented with unilateral diaphragmatic paralysis and severe hypoxaemia secondary to transient right-to-left interatrial shunting through a patent foramen ovale. The final diagnosis was made because of the initial detection of a shunt while the patient was breathing 100% oxygen.
Cordero
P J
PJ
Servicio de Neumología, Hospital Universitario La Fe, Valencia, Spain.
Morales
P
P
Mora
V
V
Cebrian
J
J
Vallterra
J
J
Gudin
J
J
Benlloch
E
E
Marco
V
V
D017548:Echocardiography, Transesophageal; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D000860:Hypoxia / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012129:Respiratory Function Tests; D012133:Respiratory Paralysis / Q000000981:diagnostic imaging / Q000209:etiology*