Document Detail


Hemidiaphragmatic paralysis: an underestimated etiology of right-to-left shunt through patent foramen ovale?
MedLine Citation:
PMID:  16824802     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report a specific pathophysiology of hemidiaphragmatic paralysis that may result in severe hypoxemia. DESIGN: Case series. SETTING: Intensive care unit in a cardiology hospital. PATIENTS: The series included three patients with refractory hypoxemia in whom a diagnosis of right-to-left-shunt through a patent foramen ovale was made by contrast echocardiography. The three patients had a complete right hemidiaphragmatic paralysis. INTERVENTION: Permanent percutaneous closure of the patent foramen ovale was successfully proceeded in all cases. MAIN RESULT: These procedures resulted in complete normalization of arterial oxygen saturation. CONCLUSION: To our knowledge, only three previous reports have described the association of right-to-left shunt through a patent foramen ovale and hemidiaphragmatic paralysis. Such association may be underestimated.
Authors:
Julie S Darchis; Pierre V Ennezat; Clément Charbonnel; Jean Marc Aubert; Xavier Gonin; Jean Luc Auffray; Jean Jacques Bauchart; Thierry Le Tourneau; Christian Rey; François Godart; Patrick Goldstein; Philippe Asseman
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-07-07
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  8     ISSN:  1525-2167     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-06-29     Completed Date:  2007-10-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  259-64     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Cardiology Hospital, Bd Pr J Leclercq, 59000 Lille, France.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anoxia / etiology*,  physiopathology
Coronary Circulation*
Female
Heart Septal Defects, Atrial / complications*,  physiopathology
Humans
Middle Aged
Respiratory Paralysis / complications*,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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