Hemidiaphragmatic paralysis: An underestimated etiology of right-to-left shunt through patent foramen ovale?

被引：13
作者：
Darchis, Julie S.
Ennezat, Pierre V.
Charbonnel, Clement
Aubert, Jean Marc
Gonin, Xavier
Auffray, Jean Luc
Bauchart, Jean Jacques
Le Tourneau, Thierry
Rey, Christian
Godart, Francois
Goldstein, Patrick
Asseman, Philippe
机构：
[1] Cardiol Hosp, Intens Care Unit, F-59000 Lille, France
[2] Univ Hosp, Emergency Dept, Lille, France
来源：
EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY | 2007年 / 8卷 / 04期
关键词：
right-to-left shunt; patent foramen ovate; hemidiaphragmatic paralysis;
D O I：
10.1016/j.euje.2006.05.003
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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 ovate was made by contrast echocardiography. The three patients had a complete right hemidiaphragmatic paralysis. Intervention: Permanent percutaneous closure of the patent foramen ovate 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 ovate and hemidiaphragmatic paralysis. Such association may be underestimated. (C) 2006 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：259 / 264
页数：6
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