Foramen oval persistente como causa de hipoxemia persistente en un paciente con neumonía grave COVID-19. Reporte de un caso



Document title: Foramen oval persistente como causa de hipoxemia persistente en un paciente con neumonía grave COVID-19. Reporte de un caso
Journal: lRevista médica de Chile
Database: PERIÓDICA
System number: 000449375
ISSN: 0034-9887
Authors: 1
2
3
Institutions: 1Universidad de los Andes, Facultad de Medicina, Santiago de Chile. Chile
2Universidad de Chile, Facultad de Medicina, Santiago de Chile. Chile
3Instituto Nacional del Tórax, Santiago de Chile. Chile
Year:
Volumen: 149
Number: 7
Pages: 1090-1092
Country: Chile
Language: Español
Document type: Artículo
Approach: Caso clínico
English abstract In patients with severe COVID-19, it has been proposed as mechanism of respiratory failure, intra and extrapulmonary shunt. However, there are no reported or documented cases of this mechanism. Also, there are studies showing this mechanism is not relevant. In this report, we present the case of a patient with severe COVID-19 pneumonia, who after two months, during his rehabilitation period, presented persistent hypoxemia with orthodeoxia. Persistent oval foramen with shunt from right to left was diagnosed. The patient underwent a percutaneous closure of the defect and at 48 hours oxygen therapy could be discontinued and the patient discharged
Disciplines: Medicina
Keyword: Neumología,
COVID-19,
Insuficiencia respiratoria,
Neumonía,
Factores de riesgo,
Foramen oval
Keyword: Pneumology,
COVID-19,
Respiratory insufficiency,
Pneumonia,
Risk factors,
Foramen ovale
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