Refractory Hypoxemia After Laparoscopic Nissen Fundoplication.

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Refractory Hypoxemia After Laparoscopic Nissen Fundoplication.

Can J Cardiol. 2016 Mar;32(3):395.e1-3

Authors: Rochlani Y, Vallurupalli S, Hakeem A, Bhatti S

Abstract
Postoperative hypoxemia can result from a variety of causes. We describe a case of platypnea-orthodeoxia caused by shunting across a patent foramen ovale in a 72-year-old woman immediately after a laparoscopic Nissen fundoplication procedure. This was diagnosed by echocardiography and treated successfully with percutaneous device closure. An intracardiac shunt should always be considered as a potential cause of refractory postoperative hypoxemia after procedures on the thorax and upper abdomen.

PMID: 26481081 [PubMed - indexed for MEDLINE]

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