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Ann Thorac Surg 1985;39:576-578
© 1985 The Society of Thoracic Surgeons

Articles

Right-to-Left Shunting after Lobectomy through a Patent Foramen Ovale

James L. Vacek, M.D., Maj, MC, USAF*, James Foster, M.D., Capt, MC, USAF, Ronald R. Quinton, M.D., Maj, MC, USAF, Patrick J. Savage, M.D., Maj, MC, USAF

From the Departments of Medicine and Surgery, USAF Medical Center, Keesler, Keesler AFB, MS

Accepted for publication July 2, 1984.

* Address reprint requests to Dr. Vacek, Department of Medicine/SGHM, Keesler AFB, MS 39534

Hypoxia and dyspnea after lung resection may be caused by a variety of factors. One entity that has been rarely described is right-to-left shunting across an interatrial communication in the absence of elevated right-sided pressures. We describe the occurrence of clinically evident right-to-left shunting after lobectomy in a patient with a patent foramen ovale and suggest that two-dimensional contrast echocardiography is a useful and minimally invasive means of diagnosing what may be a more common entity than was previously recognized.




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