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Ann Thorac Surg 1997;63:1451-1452
© 1997 The Society of Thoracic Surgeons

Case Report

Dyspnea After Pneumonectomy: The Result of an Atrial Septal Defect

Othmar Zueger, MD, Markus Solèr, MD, Peter Stulz, MD, Augustinus Jacob, MD, André P. Perruchoud, MD

Division of Pneumology, Department of Internal Medicine, and Departments of Thoracic and Cardiovascular Surgery, and Radiology, University Hospital, Basel, Switzerland

Accepted for publication November 16, 1996.

We report the case of severe hypoxemia attributable to right-to-left shunting through an atrial septal defect after right-sided pneumonectomy that developed in a 70-year-old man. Normal right atrial and pulmonary artery pressures were measured. Right-to-left shunting through a patent foramen ovale is known as a rare complication after pneumonectomy. Our patient, however, demonstrated a true atrial septal defect (septum secundum defect) upon open operative repair of the interatrial connection.




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Dyspnea After Pneumonectomy: The Result of an Atrial Septal Defect
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[Full Text]


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