Hypoxemia after blunt chest injury: right-to-left intracardiac shunt managed non-operatively.
A case of patent foramen ovale with right-to-left intracardiac shunt after blunt chest injury is presented. The association of pulmonary contusion, pulmonary hypertension, and patent foramen ovale in a previously healthy subject is discussed. In such a case reduction of the afterload on the right ventricle is the suggested modality of treatment for hypoxemia due to the right-to-left shunt.
Division of General Surgery, Allegheny General Hospital, Pittsburgh.
Y
Y
Kluger
J H
JH
Morgan
C R
CR
Tullius
R N
RN
Townsend
J J
JJ
Raves
D L
DL
Diamond
D000328:Adult; D006335:Heart Injuries / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D006344:Heart Septal Defects, Atrial; D006346:Heart Septum / Q000293:injuries* / Q000503:physiopathology; D006801:Humans; D000860:Hypoxia / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D013898:Thoracic Injuries / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000503:physiopathology / Q000628:therapy