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Publication Detail
Pulmonary embolus and patent foramen ovale: a rare cause of refractory hypoxaemia.
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Publication Type:Journal article
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Publication Sub Type:Case Reports
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Authors:Brydon C, Fawcett WJ, Treasure T, Clarke JT
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Publication date:08/1993
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Pagination:298, 300
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Journal:Br J Anaesth
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Volume:71
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Issue:2
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Status:Published
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Country:England
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Print ISSN:0007-0912
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PII:S0007-0912(17)44739-8
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Language:eng
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Keywords:Heart Septal Defects, Atrial, Humans, Hypoxia, Male, Middle Aged, Pulmonary Embolism
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Author URL:
Abstract
A patient with a large pulmonary embolus is described. The striking features were those of cardiovascular stability with hypoxaemia and hypercapnia. Cardiac catheterization confirmed the pulmonary embolus; in addition there was found to be a patent foramen ovale (PFO), causing a large right-to-left shunt. Removal of the pulmonary embolus and closure of the PFO dramatically improved alveolar-arterial oxygen gradient and ventilatory requirements.
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