[Dyspnea after pneumonectomy due to atrial septum defect].

Ned Tijdschr Geneeskd

Afd. Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam.

Published: March 2001

AI Article Synopsis

  • A 55-year-old woman experienced worsening shortness of breath a year after having her left lung removed due to a tumor.
  • Medical tests revealed a significant sinus venosus defect in her heart, which was not initially identified as the cause of her symptoms.
  • After surgical repair of the heart defects using an artificial patch, the patient made a full recovery and has had no further issues.

Article Abstract

A 55-year-old woman presented with complaints of recurrent dyspnoea one year after pneumonectomy carried out as treatment for a tumour of the left lung. During several months her symptoms progressed and eventually mechanical ventilation became necessary. On admission a patent foramen ovale was found with transoesophageal ultrasound but this was judged not to be the cause of her symptoms. The pulmonary angiogram showed a intracardiac shunt with no intrapulmonary shunts. After repeated transoesophageal ultrasound a second defect was found of a sinus venosus type. This large defect was proven to be clinically significant during catherisation of the heart, when occlusion with a balloon was performed. After surgical repair of these defects with an artificial patch, the patient recovered well. Since then she has been without complaints.

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