Refractory Hypoxemia After Laparoscopic Nissen Fundoplication

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• 作者：Yogita Rochlani ; MD^a ; ^{ymrochlani@uams.edu" class="auth_mail" title="E-mail the corresponding author} ; Srikanth Vallurupalli ; MD^b ; Abdul Hakeem ; MD^b ; Sabha Bhatti ; MD^b
• 刊名：Canadian Journal of Cardiology
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：32
• 期：3
• 页码：395.e1-395.e3
• 全文大小：469 K

文摘

Postoperative hypoxemia can result from a variety of causes. We describe a case of platypnea-orthodeoxia caused by shunting across a patent foramen ovale in a 72-year-old woman immediately after a laparoscopic Nissen fundoplication procedure. This was diagnosed by echocardiography and treated successfully with percutaneous device closure. An intracardiac shunt should always be considered as a potential cause of refractory postoperative hypoxemia after procedures on the thorax and upper abdomen.