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Refractory hypoxaemia after pneumonectomy: diagnosis by transoesophageal echocardiography.
  1. L Berry,
  2. S Braude,
  3. J Hogan
  1. Department of Cardiology, Royal Brompton National Heart and Lung Hospital, London.


    A patient with normal oxygenation before operation became very breathless and hypoxaemic after a right pneumonectomy. Transoesophageal echocardiography showed right to left interatrial shunting due to a patent foramen ovale. Transoesophageal echocardiography should be included in the assessment of patients who became inappropriately dyspnoeic after pneumonectomy.

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