NDLI: Une hypoxie réfractaire.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cuchard, P. Guillemin, P.
Description	Author Affiliation: Cuchard P ( Centre de Traitement et de Réadaptation (CRT), Hôpital Riviera, Site de Mottex, Blonay.)
Abstract	We report a case of refractory hypoxia in an 85 years old smoker patient, who is known for cardiac and pulmonary comorbidities. The whole clinical picture at the time of his admission to hospital was pointing to a cardiac failure or a pneumonia that were causing the respiratory insufficiency. Despite an optimal treatment which stabilised these conditions, the patient remained severely hypoxic, but with relatively few symptoms. The non response to the oxygen and the worsening of the oxygen saturation when changing from the lying to the sitting (or supine) position finally evoke the syndrome of platypnea-orthodeoxia caused by a cardiac right to left shunt; that diagnosis was confirmed by a cardiac ultrasound with contrast which revealed an important inter-auricular shunt. The patient didn't wish to undertake the curative treatment (shunt closure).
File Format	HTM / HTML
ISSN	16618157
Issue Number	9
Volume Number	100
e-ISSN	16618165
Journal	PRAXIS
Language	French
Publisher	Hogrefe Verlag
Publisher Date	2011-04-27
Publisher Place	Switzerland
Access Restriction	Subscribed
Subject Keyword	Discipline Medicine Dyspnea Etiology Heart Septal Defects, Atrial Diagnosis Anoxia Aged, 80 And Over Chronic Disease Diagnosis, Differential Echocardiography Humans Male Case Reports Journal Article
Alternative Title	Refractory hypoxia
Content Type	Text
Resource Type	Case study Article
Subject	Medicine

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