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Patent foramen ovale revealed by COVID-19 pneumonia.
Vanhomwegen, Charlotte; Taton, Olivier; Selvais, Nicolas; Vanhove, Olivier; Leduc, Dimitri.
  • Vanhomwegen C; CHU Erasme Hospital, Université Libre de Bruxelles, Route de Lennick 808, 1070, Brussels, Belgium. cvhomweg@gmail.com.
  • Taton O; Department of Pneumology, CHU Erasme Hospital, Université Libre de Bruxelles, Bruxelles, Belgium.
  • Selvais N; Department of Cardiology, CHU Erasme Hospital, Université Libre de Bruxelles, Bruxelles, Belgium.
  • Vanhove O; Department of Pneumology, CHU Erasme Hospital, Université Libre de Bruxelles, Bruxelles, Belgium.
  • Leduc D; Department of Pneumology, CHU Erasme Hospital, Université Libre de Bruxelles, Bruxelles, Belgium.
BMC Pulm Med ; 21(1): 126, 2021 Apr 19.
Article in English | MEDLINE | ID: covidwho-1191325
Semantic information from SemMedBD (by NLM)
1. Arteries LOCATION_OF Oxygen saturation below reference range
Subject
Arteries
Predicate
LOCATION_OF
Object
Oxygen saturation below reference range
2. Dyspnea ASSOCIATED_WITH Rare Diseases
Subject
Dyspnea
Predicate
ASSOCIATED_WITH
Object
Rare Diseases
3. Cardiac chamber structure LOCATION_OF Surgical fistula
Subject
Cardiac chamber structure
Predicate
LOCATION_OF
Object
Surgical fistula
4. 2019 novel coronavirus CAUSES Syndrome
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
Syndrome
5. Foramen Oval CAUSES C0039082
Subject
Foramen Oval
Predicate
CAUSES
Object
C0039082
6. Problem COEXISTS_WITH Syndrome
Subject
Problem
Predicate
COEXISTS_WITH
Object
Syndrome
7. Pneumonia PREDISPOSES Syndrome
Subject
Pneumonia
Predicate
PREDISPOSES
Object
Syndrome
8. Pneumonia PREDISPOSES Hypoxemia
Subject
Pneumonia
Predicate
PREDISPOSES
Object
Hypoxemia
9. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
10. Syndrome PROCESS_OF Patients
Subject
Syndrome
Predicate
PROCESS_OF
Object
Patients
11. Arteries LOCATION_OF Oxygen saturation below reference range
Subject
Arteries
Predicate
LOCATION_OF
Object
Oxygen saturation below reference range
12. Dyspnea ASSOCIATED_WITH Rare Diseases
Subject
Dyspnea
Predicate
ASSOCIATED_WITH
Object
Rare Diseases
13. Cardiac chamber structure LOCATION_OF Surgical fistula
Subject
Cardiac chamber structure
Predicate
LOCATION_OF
Object
Surgical fistula
14. 2019 novel coronavirus CAUSES Syndrome
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
Syndrome
15. Foramen Ovale, Patent CAUSES Syndrome
Subject
Foramen Ovale, Patent
Predicate
CAUSES
Object
Syndrome
16. Problem COEXISTS_WITH Syndrome
Subject
Problem
Predicate
COEXISTS_WITH
Object
Syndrome
17. Pneumonia PREDISPOSES Syndrome
Subject
Pneumonia
Predicate
PREDISPOSES
Object
Syndrome
18. Pneumonia PREDISPOSES Hypoxemia
Subject
Pneumonia
Predicate
PREDISPOSES
Object
Hypoxemia
19. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
20. Syndrome PROCESS_OF Patients
Subject
Syndrome
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

Platypnea-orthodeoxia syndrome (POS) is a rare condition characterized by dyspnoea (platypnea) and arterial desaturation in the upright position resolved in the supine position (orthodeoxia). Intracardiac shunt, pulmonary ventilation-perfusion mismatch and others intrapulmonary abnormalities are involved. CASE PRESENTATION We report a case of POS associated with two pathophysiological issues one, cardiac POS caused by a patent foramen ovale (PFO) and second, pulmonary POS due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) interstitial pneumonia. POS has resolved after recovery of coronavirus disease 2019 (COVID-19) pneumonia.

CONCLUSIONS:

Right-to-left interatrial shunt and intrapulmonary shunt caused by SARS-CoV-2 pneumonia contributed to refractory hypoxemia and POS. Therefore, in case of COVID-19 patient with unexplained POS, the existence of PFO must be investigated.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Dyspnea / Foramen Ovale, Patent / COVID-19 / Lung / Hypoxia Type of study: Case report / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: BMC Pulm Med Year: 2021 Document Type: Article Affiliation country: S12890-021-01494-7

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Dyspnea / Foramen Ovale, Patent / COVID-19 / Lung / Hypoxia Type of study: Case report / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: BMC Pulm Med Year: 2021 Document Type: Article Affiliation country: S12890-021-01494-7