Whiteley Jennifer, Lynn Peter, Walker Niki, Butler John
Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK.
Scottish Adult Congenital Cardiac Service, Golden Jubilee National Hospital, Glasgow, UK.
Eur J Cardiothorac Surg. 2020 Jan 1;57(1):189-190. doi: 10.1093/ejcts/ezz212.
A 78-year-old female underwent a right pneumonectomy for a neuroendocrine tumour. In the early postoperative phase, she developed a paralytic ileus and went on to develop breathlessness and orthostatic desaturation, which characterizes platypnoea-orthodeoxia. She was found to have an intra-atrial shunt on bubble echo, with equal atrial pressures. This was managed by device closure of the atrial connection, following which her condition improved.
一名78岁女性因神经内分泌肿瘤接受了右肺切除术。术后早期，她出现了麻痹性肠梗阻，随后发展为呼吸急促和体位性低氧血症，这是平卧呼吸-直立性低氧血症的特征。经气泡造影检查发现她存在心房内分流，且心房压力相等。通过封堵心房连接装置进行治疗，之后她的病情有所改善。
