Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling

A 43‐year‐old Caucasian man was admitted to hospital due to shortness of breath, right lumbar pain and lower left limb swelling. Arterial blood gas sample showed mild hypoxemia and respiratory alkalosis. CT scan confirmed pulmonary embolism, splenic and bilateral renal ischemic lesions. Echocardiogr...

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Autores principales: Filomena, Domenico, Monosilio, Sara, Sannino, Michele, Cimino, Sara, Maestrini, Viviana, Bruno, Emanuele, Miraldi, Fabio, Fedele, Francesco, Vizza, Carmine Dario, Agati, Luciano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314040/
https://www.ncbi.nlm.nih.gov/pubmed/35253264
http://dx.doi.org/10.1111/echo.15330
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author Filomena, Domenico
Monosilio, Sara
Sannino, Michele
Cimino, Sara
Maestrini, Viviana
Bruno, Emanuele
Miraldi, Fabio
Fedele, Francesco
Vizza, Carmine Dario
Agati, Luciano
author_facet Filomena, Domenico
Monosilio, Sara
Sannino, Michele
Cimino, Sara
Maestrini, Viviana
Bruno, Emanuele
Miraldi, Fabio
Fedele, Francesco
Vizza, Carmine Dario
Agati, Luciano
author_sort Filomena, Domenico
collection PubMed
description A 43‐year‐old Caucasian man was admitted to hospital due to shortness of breath, right lumbar pain and lower left limb swelling. Arterial blood gas sample showed mild hypoxemia and respiratory alkalosis. CT scan confirmed pulmonary embolism, splenic and bilateral renal ischemic lesions. Echocardiography showed right ventricular and coronary sinus (CS) dilatation. Using contrast echocardiography, a superior sinus venous atrial septal defect and persistent left superior vena cava (PLSVC) draining in CS were suspected. Cardiac CT confirmed the diagnosis and showed overriding right superior vena cava (RSVC) draining in both atria. The patient underwent successful surgical correction.
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spelling pubmed-93140402022-07-30 Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling Filomena, Domenico Monosilio, Sara Sannino, Michele Cimino, Sara Maestrini, Viviana Bruno, Emanuele Miraldi, Fabio Fedele, Francesco Vizza, Carmine Dario Agati, Luciano Echocardiography Case Reports A 43‐year‐old Caucasian man was admitted to hospital due to shortness of breath, right lumbar pain and lower left limb swelling. Arterial blood gas sample showed mild hypoxemia and respiratory alkalosis. CT scan confirmed pulmonary embolism, splenic and bilateral renal ischemic lesions. Echocardiography showed right ventricular and coronary sinus (CS) dilatation. Using contrast echocardiography, a superior sinus venous atrial septal defect and persistent left superior vena cava (PLSVC) draining in CS were suspected. Cardiac CT confirmed the diagnosis and showed overriding right superior vena cava (RSVC) draining in both atria. The patient underwent successful surgical correction. John Wiley and Sons Inc. 2022-03-06 2022-04 /pmc/articles/PMC9314040/ /pubmed/35253264 http://dx.doi.org/10.1111/echo.15330 Text en © 2022 The Authors. Echocardiography published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Filomena, Domenico
Monosilio, Sara
Sannino, Michele
Cimino, Sara
Maestrini, Viviana
Bruno, Emanuele
Miraldi, Fabio
Fedele, Francesco
Vizza, Carmine Dario
Agati, Luciano
Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
title Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
title_full Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
title_fullStr Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
title_full_unstemmed Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
title_short Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
title_sort complex connections: a young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314040/
https://www.ncbi.nlm.nih.gov/pubmed/35253264
http://dx.doi.org/10.1111/echo.15330
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