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Eur J Cardiothorac Surg 2006;29:622-624
© 2006 Elsevier Science NL


Case report

Transcatheter closure of a patent foramen ovale prior to a pneumonectomy to prevent platypnea syndrome

Sergey Yalonetsky a , * , Allon Ben Nun b , Yitzhak Shwartz a , Avraham Lorber a

a Pediatric Cardiology Unit, Meyer Children's Hospital, Rambam Medical Center, Haifa 31096, Israel
b Thoracic Surgery Department, Rambam Medical Center, Haifa 31096, Israel

Received 17 November 2005; received in revised form 4 January 2006; accepted 10 January 2006.

* Corresponding author. Tel.: +972 4 8542757; fax: +972 4 8542175. (Email: s_yalonetsky{at}rambam.health.gov.il).

An intracardiac shunt on an atrial level may be a cause of hypoxemia after lung surgery (platypnea–orthodeoxia syndrome). This syndrome may be successfully treated by percutaneous or surgical shunt closure. We present the case of preoperative transcatheter closure of a patent foramen ovale (PFO) for the prevention of possible platypnea after a forthcoming right pneumonectomy.

Key Words: Septal defects • Hypoxia • Cardiac catheterization • Pneumonectomy • Shunts




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