title: [Hypoxemia 4 month after right-sided pneumonectomy].
abstract: A 64-year-old male reported worsening dyspnea four months after right-sided pneumonectomy, due to lung cancer. Platypneu-or-thodeoxie syndrome was suspected due to a decrease in oxygen-saturation while the patient was in upright position. The shift of the right hemidiaphragm and liver caused compression of the right atrium and a shunt over a persistent foramen ovale. The right-to-left shunt was proven during right heart catheter. Interventional closure of the shunt resulted in immediate improvement of arterial oxygenation and a decrease in dyspnea.
authors.affiliation: Fachbereich Kardiologie, Herz- und Gefäßklinik, Rhön Klinik AG, Salzburgerleite 1, 97616 Bad Neustadt Saale. olaf.muehling@kardiologie-bad-neustadt.de
authors.forename: O
authors.initials: O
authors.lastname: Mühling
authors.forename: M
authors.initials: M
authors.lastname: Koller
authors.forename: A
authors.initials: A
authors.lastname: Langbein
authors.forename: S
authors.initials: S
authors.lastname: Fröhner
authors.forename: B
authors.initials: B
authors.lastname: Schumacher
authors.forename: S
authors.initials: S
authors.lastname: Kerber
mesh_terms: D002283:Carcinoma, Bronchogenic / Q000601:surgery*; D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D054092:Foramen Ovale, Patent / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed