Acute hypoxia due to right to left blood shunting in a patient with atrial septal defect
Language English Country Ireland Media print-electronic
Document type Case Reports, Journal Article
PubMed
17379384
DOI
10.1016/j.resuscitation.2007.01.003
PII: S0300-9572(07)00013-5
Knihovny.cz E-resources
- MeSH
- Acute Disease MeSH
- Heart Septal Defects, Atrial complications diagnostic imaging MeSH
- Drainage MeSH
- Echocardiography MeSH
- Fatal Outcome MeSH
- Hypoxia etiology MeSH
- Cardiac Pacing, Artificial adverse effects MeSH
- Contrast Media MeSH
- Humans MeSH
- Pericardial Effusion diagnostic imaging etiology therapy MeSH
- Aged MeSH
- Cardiac Tamponade complications diagnostic imaging MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Names of Substances
- Contrast Media MeSH
Acute right to left blood shunt is an unusual cause of acute hypoxia. We describe a case of a patient with an atrial septal defect who developed acute hypoxia due to cardiac tamponade. Acute haemopericardium developed as a complication of temporary transvenous cardiac pacing. Bubble contrast echocardiography confirmed right to left blood shunting at the atrial level. Acute hypoxaemia and the right to left blood shunt resolved when the pericardium was drained. The case underscores the importance of evaluating the presence of an intracardial shunt in patients with otherwise inexplicable hypoxia.
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