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The Annals of Thoracic Surgery, Vol 39, 576-578, Copyright © 1985 by The Society of Thoracic Surgeons

ARTICLES

Right-to-left shunting after lobectomy through a patent foramen ovale

JL Vacek, J Foster, RR Quinton and PJ Savage

Hypoxia and dyspnea after lung resection may be caused by a variety of factors. One entity that has been rarely described is right-to-left shunting across an interatrial communication in the absence of elevated right-sided pressures. We describe the occurrence of clinically evident right-to-left shunting after lobectomy in a patient with a patent foramen ovale and suggest that two-dimensional contrast echocardiography is a useful and minimally invasive means of diagnosing what may be a more common entity than was previously recognized.


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