Your browser doesn't support javascript.
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
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

Similar

MEDLINE

...
LILACS

LIS


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