title: Correction of a postpneumonectomy intracardiac shunt using a tissue expander.
abstract: Right-to-left interatrial shunt (RLIAS) resulting in platypnea orthodeoxia after a right pneumonectomy is an infrequent postoperative complication. Percutaneous device closure or surgical closures using cardiopulmonary bypass have been the standard interventions for RLIAS correction. We describe a technique using a tissue expander to correct a RLIAS.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Kaiser Permanente Medical Center, Clackamas, Oregon 97015, USA. david.g.tse@kp.org
authors.forename: David G
authors.initials: DG
authors.lastname: Tse
authors.forename: William W
authors.initials: WW
authors.lastname: Shely
authors.forename: Maxine E
authors.initials: ME
authors.lastname: Dexter
authors.forename: Richard F
authors.initials: RF
authors.lastname: Davis
authors.forename: Joshua R
authors.initials: JR
authors.lastname: Hill
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012086:Reoperation; D015625:Tissue Expansion Devices; D014057:Tomography, X-Ray Computed