Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico

Patent foramen ovale (PFO) is a prevalent congenital septal atrial defect usually without pathological significance. In certain pathogenic situations, PFO can trigger episodes of recurrent hypoxemia, a specific condition known as platipnea-orthodeoxia syndrome (POS). We report a 73 years old female...

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Autores principales: Appiani,Franco, Uriarte,Polentzi, Fernández,Rosario, Parra,Víctor, Pineda,Fernando
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200263
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spelling oai:scielo:S0034-988720200002002632020-06-11Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínicoAppiani,FrancoUriarte,PolentziFernández,RosarioParra,VíctorPineda,Fernando Cyanosis Foramen Ovale, Patent Heart Septal Defects, Atrial Hepatopulmonary Syndrome Patent foramen ovale (PFO) is a prevalent congenital septal atrial defect usually without pathological significance. In certain pathogenic situations, PFO can trigger episodes of recurrent hypoxemia, a specific condition known as platipnea-orthodeoxia syndrome (POS). We report a 73 years old female presenting with dyspnea and low arterial oxygen saturation. On admission the patient had a hemoglobin saturation of 81% and an arterial oxygen partial pressure of 50 mmHg. After breathing 100% a 17% arterial-venous shunt was found (normal: less than 12%). A transesophageal echocardiogram and a cardiac catheterization showed the presence of a PFO. A percutaneous closure was performed.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.2 20202020-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200263es10.4067/s0034-98872020000200263
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Cyanosis
Foramen Ovale, Patent
Heart Septal Defects, Atrial
Hepatopulmonary Syndrome
spellingShingle Cyanosis
Foramen Ovale, Patent
Heart Septal Defects, Atrial
Hepatopulmonary Syndrome
Appiani,Franco
Uriarte,Polentzi
Fernández,Rosario
Parra,Víctor
Pineda,Fernando
Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico
description Patent foramen ovale (PFO) is a prevalent congenital septal atrial defect usually without pathological significance. In certain pathogenic situations, PFO can trigger episodes of recurrent hypoxemia, a specific condition known as platipnea-orthodeoxia syndrome (POS). We report a 73 years old female presenting with dyspnea and low arterial oxygen saturation. On admission the patient had a hemoglobin saturation of 81% and an arterial oxygen partial pressure of 50 mmHg. After breathing 100% a 17% arterial-venous shunt was found (normal: less than 12%). A transesophageal echocardiogram and a cardiac catheterization showed the presence of a PFO. A percutaneous closure was performed.
author Appiani,Franco
Uriarte,Polentzi
Fernández,Rosario
Parra,Víctor
Pineda,Fernando
author_facet Appiani,Franco
Uriarte,Polentzi
Fernández,Rosario
Parra,Víctor
Pineda,Fernando
author_sort Appiani,Franco
title Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico
title_short Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico
title_full Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico
title_fullStr Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico
title_full_unstemmed Hipoxemia recurrente y formen oval permeable. Unidad diagnóstica fácilmente inadvertida. Caso clínico
title_sort hipoxemia recurrente y formen oval permeable. unidad diagnóstica fácilmente inadvertida. caso clínico
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200263
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