Postoperative hypoxemia from clinically suspected pulmonary embolism complicated by patent foramen ovale.
Postoperative hypoxemia can be a challenging diagnostic and management dilemma for the clinician. We present here a case of postoperative hypoxemia following laparoscopic gastric bypass surgery secondary to presumed pulmonary embolism complicated with a patent foramen ovale. The diagnostic pitfalls associated with a negative spiral computed tomography scan and the impact of coexisting medical conditions aggravating the pulmonary dysfunction are reviewed.
Dong
Xiang D
XD
Department of Surgery, MCP Hahnemann University Hospital, Philadelphia, Pennsylvania 19102-1192, USA.
Meyers
William C
WC
Wang
William N
WN
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D019320:Embolism, Paradoxical / Q000150:complications* / Q000175:diagnosis; D005260:Female; D015390:Gastric Bypass; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000925:Anticoagulants