Right-to-left interatrial shunt with hypoxemia caused by a right atrial thrombus

被引:0
作者
Vargas-Beal, Franco
Coulter, Stephanie A.
Yendamuri, Sai
Contreras, Ariadna
Duncan, J. Michael
机构
[1] St Lukes Episcopal Hosp, Texas Heart Inst, Dept Cardiovasc Surg, Houston, TX 77030 USA
[2] St Lukes Episcopal Hosp, Texas Heart Inst, Dept Cardiol, Houston, TX 77030 USA
关键词
catheters; indwelling; echocardiography; transesophageal; septal defects; atrial/complications; interatrial shunt; migraine disorders/etiology; hypoxemia; thrombosis;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A right-to-left shunt in the presence of normal pulmonary artery pressure is an unusual cause of hypoxemia in an adult who has a patent foramen ovale. We report a rare case of such a shunt-the result of a right atrial thrombus that formed in a hypercoagulable patient after placement of an indwelling central venous catheter for chemotherapy. In order to ascertain the nature of the right atrial mass and to decrease the risk of systemic embolization, the thrombus was surgically removed with the patient on cardiopulmonary bypass.
引用
收藏
页码:225 / 229
页数:5
相关论文
共 49 条
[21]   TRANSESOPHAGEAL ECHOCARDIOGRAPHIC GUIDANCE FOR BALLOON CATHETER OCCLUSION OF PATENT FORAMEN OVALE COMPLICATING RIGHT VENTRICULAR INFARCTION [J].
GUDIPATI, CV ;
NAGELHOUT, DA ;
SEROTA, H ;
DELIGONUL, U ;
LABOVITZ, AJ ;
KERN, MJ .
AMERICAN HEART JOURNAL, 1991, 121 (03) :919-922
[22]   INCIDENCE AND SIZE OF PATENT FORAMEN OVALE DURING THE 1ST 10 DECADES OF LIFE - AN AUTOPSY STUDY OF 965 NORMAL HEARTS [J].
HAGEN, PT ;
SCHOLZ, DG ;
EDWARDS, WD .
MAYO CLINIC PROCEEDINGS, 1984, 59 (01) :17-20
[23]   Cardiac cause of hypoxaemia in a kyphoscoliotic patient [J].
Herry, I ;
Iung, B ;
Piechaud, JY ;
Saidi, F ;
Mayaud, C ;
Boissonnas, A .
EUROPEAN RESPIRATORY JOURNAL, 1999, 14 (06) :1433-1434
[24]   RIGHT-TO-LEFT SHUNTING THROUGH A PATENT FORAMEN OVALE CAUSED BY PULMONARY-HYPERTENSION ASSOCIATED WITH RHEUMATOID-ARTHRITIS AND SJOGRENS-SYNDROME - A CASE-REPORT [J].
INOUE, T ;
YAMAGUCHI, H ;
HAYASHI, T ;
MOROOKA, S ;
TAKABATAKE, Y .
ANGIOLOGY, 1990, 41 (12) :1082-1085
[25]   Hypoxemia and stroke in a patient with a pacemaker [J].
Jiménez, RM ;
Marín, F ;
Diego, M ;
Santos, JL ;
Arribas, A ;
Luengo, CM .
REVISTA ESPANOLA DE CARDIOLOGIA, 2004, 57 (03) :265-267
[26]   Intermittent atrial level right-to-left shunt with temporary hypoxemia in a patient during support with a left ventricular assist device [J].
Kilger, E ;
Strom, C ;
Frey, L ;
Felbinger, TW ;
Pichler, B ;
Tichy, M ;
Rank, N ;
Wheeldon, D ;
Kesel, K ;
Schmitz, C ;
Reichenspurner, H ;
Polasek, J ;
Weis, F ;
Goetz, AE .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2000, 44 (01) :125-127
[27]   Comparison of alteplase versus heparin for resolution of major pulmonary embolism [J].
Konstantinides, S ;
Tiede, N ;
Geibel, A ;
Olschewski, M ;
Just, H ;
Kasper, W .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 82 (08) :966-970
[28]   TRANSESOPHAGEAL ECHOCARDIOGRAPHIC DEMONSTRATION OF DISTINCT MECHANISMS FOR RIGHT-TO-LEFT SHUNTING ACROSS A PATENT FORAMEN OVALE IN THE ABSENCE OF PULMONARY-HYPERTENSION [J].
LANGHOLZ, D ;
LOUIE, EK ;
KONSTADT, SN ;
RAO, TLK ;
SCANLON, PJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (04) :1112-1117
[29]   Platypnea and orthodeoxia: Shunting associated with an aortic aneurysm [J].
Laybourn, KA ;
Martin, ET ;
Cooper, RAS ;
Holman, WL .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1997, 113 (05) :955-956
[30]   Right-to-left interatrial shunt in ARDS: dramatic improvement in prone position [J].
Legras, A ;
Dequin, PF ;
Hazouard, E ;
Doucet, O ;
Tranquart, F ;
Perrotin, D .
INTENSIVE CARE MEDICINE, 1999, 25 (04) :412-414