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



Título del documento: Foramen oval persistente como causa de hipoxemia persistente en un paciente con neumonía grave COVID-19. Reporte de un caso
Revista: lRevista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000449375
ISSN: 0034-9887
Autores: 1
2
3
Instituciones: 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
Año:
Volumen: 149
Número: 7
Paginación: 1090-1092
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés 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
Disciplinas: Medicina
Palabras clave: 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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