Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast

Following a bilateral bidirectional Glenn shunt, a child had persistent hypoxemia. Agitated saline contrast injection into the jugular vein during transesophageal echocardiography displayed a rapid appearance of saline particles in the cardiac chambers suggesting the presence of pulmonary arterioven...

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Autores principales: Maddali, Madan M., Saxena, Pravin, Al Alawi, Khalid S., Mohsen, Abdoulah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10077769/
https://www.ncbi.nlm.nih.gov/pubmed/37032672
http://dx.doi.org/10.4103/sja.sja_371_22
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author Maddali, Madan M.
Saxena, Pravin
Al Alawi, Khalid S.
Mohsen, Abdoulah
author_facet Maddali, Madan M.
Saxena, Pravin
Al Alawi, Khalid S.
Mohsen, Abdoulah
author_sort Maddali, Madan M.
collection PubMed
description Following a bilateral bidirectional Glenn shunt, a child had persistent hypoxemia. Agitated saline contrast injection into the jugular vein during transesophageal echocardiography displayed a rapid appearance of saline particles in the cardiac chambers suggesting the presence of pulmonary arteriovenous malformations. However, the clinical picture was not in agreement and an angiographic contrast injection during an immediate cardiac catheterization revealed the underlying pathology which was immediately corrected surgically.
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spelling pubmed-100777692023-04-07 Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast Maddali, Madan M. Saxena, Pravin Al Alawi, Khalid S. Mohsen, Abdoulah Saudi J Anaesth Case Report Following a bilateral bidirectional Glenn shunt, a child had persistent hypoxemia. Agitated saline contrast injection into the jugular vein during transesophageal echocardiography displayed a rapid appearance of saline particles in the cardiac chambers suggesting the presence of pulmonary arteriovenous malformations. However, the clinical picture was not in agreement and an angiographic contrast injection during an immediate cardiac catheterization revealed the underlying pathology which was immediately corrected surgically. Wolters Kluwer - Medknow 2023 2023-01-02 /pmc/articles/PMC10077769/ /pubmed/37032672 http://dx.doi.org/10.4103/sja.sja_371_22 Text en Copyright: © 2023 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Maddali, Madan M.
Saxena, Pravin
Al Alawi, Khalid S.
Mohsen, Abdoulah
Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
title Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
title_full Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
title_fullStr Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
title_full_unstemmed Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
title_short Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
title_sort cause of profound hypoxemia following a bilateral bidirectional glenn shunt: clue suggested by agitated saline echo contrast
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10077769/
https://www.ncbi.nlm.nih.gov/pubmed/37032672
http://dx.doi.org/10.4103/sja.sja_371_22
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