Correction of a Postpneumonectomy Intracardiac Shunt Using a Tissue Expander

Right-to-left interatrial shunt (RLIAS) resulting in platypnea orthodeoxia after a right pneumonectomy is an infrequent postoperative complication. Percutaneous device closure or surgical closures using cardiopulmonary bypass have been the standard interventions for RLIAS correction. We describe a t...

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Published inThe Annals of thoracic surgery Vol. 94; no. 6; pp. e135 - e136
Main Authors Tse, David G., MD, Shely, William W., MD, Dexter, Maxine E., MD, Davis, Richard F., MD, Hill, Joshua R., MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.12.2012
Subjects
Aged
Cardiac Catheterization - methods
Cardiothoracic Surgery
Echocardiography, Transesophageal
Female
Follow-Up Studies
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Atrial - etiology
Heart Septal Defects, Atrial - surgery
Humans
Lung Neoplasms - surgery
Pneumonectomy - adverse effects
Postoperative Complications
Reoperation
Surgery
Tissue Expansion Devices
Tomography, X-Ray Computed
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Summary:Right-to-left interatrial shunt (RLIAS) resulting in platypnea orthodeoxia after a right pneumonectomy is an infrequent postoperative complication. Percutaneous device closure or surgical closures using cardiopulmonary bypass have been the standard interventions for RLIAS correction. We describe a technique using a tissue expander to correct a RLIAS.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2012.06.021