Worsening Hypoxia Post Lung Transplant: What has Changed?

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• 作者：Ashish H. Shah ; MD ; Andrew Leventhal ; MD ; PhD ; Eric Horlick ; MD ; Erwin Oechslin ; MD ; Mark Osten ; MD ; ^{Mark.Osten@uhn.ca" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Anoxia ; Lung transplantation ; Patent foramen ovale ; Atrial ; Septal occluder device ; Echocardiography ; Transoesophageal
• 刊名：Heart, Lung and Circulation
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：25
• 期：11
• 页码：e155-e157
• 全文大小：419 K

文摘

Platypnoea-orthodeoxia is a rare, but under-diagnosed clinical entity, characterised by postural hypoxia and breathlessness. Underlying pathology is inter-atrial shunt or pulmonary vascular malformation, but what anatomical distortion / physiological alterations initiates right to left shunt, usually against the pressure gradient remains unknown.