Paralytic ileus precipitating platypnoea–orthodeoxia after right pneumonectomy
- 30 July 2019
- journal article
- editorial
- Published by Oxford University Press (OUP) in European Journal of Cardio-Thoracic Surgery
- Vol. 57 (1), 189-190
- https://doi.org/10.1093/ejcts/ezz212
Abstract
A 78-year-old female underwent a right pneumonectomy for a neuroendocrine tumour. In the early postoperative phase, she developed a paralytic ileus and went on to develop breathlessness and orthostatic desaturation, which characterizes platypnoea–orthodeoxia. She was found to have an intra-atrial shunt on bubble echo, with equal atrial pressures. This was managed by device closure of the atrial connection, following which her condition improved.Keywords
This publication has 3 references indexed in Scilit:
- P-237EARLY-ONSET OF PLATYPNEA-ORTHODEOXIA SYNDROME AFTER RIGHT INTRAPERICARDIAL TRACHEOPLASTIC PNEUMONECTOMYInteractive CardioVascular and Thoracic Surgery, 2015
- Platypnea-Orthodeoxia Syndrome: A Rare Complication After Right PneumonectomyThe Annals of Thoracic Surgery, 2009
- Dyspnoea and hypoxaemia after lung surgery: the role of interatrial right-to-left shuntEuropean Respiratory Journal, 2006