Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis

Dyspnea accounts for more than one-fourth of the hospital admissions from Emergency Department. Chronic conditions such as Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, and Asthma are being common etiologies. Less common etiologies include conditions such as valvular heart disease...

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Main Authors: Hussain Ibrahim, Adnan Khan, Shawn P. Nishi, Ken Fujise, Syed Gilani
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2017/9848696
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author Hussain Ibrahim
Adnan Khan
Shawn P. Nishi
Ken Fujise
Syed Gilani
author_facet Hussain Ibrahim
Adnan Khan
Shawn P. Nishi
Ken Fujise
Syed Gilani
author_sort Hussain Ibrahim
collection DOAJ
description Dyspnea accounts for more than one-fourth of the hospital admissions from Emergency Department. Chronic conditions such as Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, and Asthma are being common etiologies. Less common etiologies include conditions such as valvular heart disease, pulmonary embolism, and right-to-left shunt (RLS) from patent foramen ovale (PFO). PFO is present in estimated 20–30% of the population, mostly a benign condition. RLS via PFO usually occurs when right atrium pressure exceeds left atrium pressure. RLS can also occur in absence of higher right atrium pressure. We report one such case that highlights the importance of high clinical suspicion, thorough evaluation, and percutaneous closure of the PFO leading to significant improvement in the symptoms.
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id doaj-art-4cf107193af64b19a5abaaa20318fc96
institution Kabale University
issn 2090-6846
2090-6854
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Pulmonology
spelling doaj-art-4cf107193af64b19a5abaaa20318fc962025-02-03T01:03:25ZengWileyCase Reports in Pulmonology2090-68462090-68542017-01-01201710.1155/2017/98486969848696Symptomatic Patent Foramen Ovale with Hemidiaphragm ParalysisHussain Ibrahim0Adnan Khan1Shawn P. Nishi2Ken Fujise3Syed Gilani4University of Texas Medical Branch, 301 University Boulevard, 5.106 John Sealy Annex, Galveston, TX 77555-0553, USAUniversity of Texas Medical Branch, 301 University Boulevard, 5.106 John Sealy Annex, Galveston, TX 77555-0553, USAUniversity of Texas Medical Branch, 301 University Boulevard, 5.106 John Sealy Annex, Galveston, TX 77555-0553, USAUniversity of Texas Medical Branch, 301 University Boulevard, 5.106 John Sealy Annex, Galveston, TX 77555-0553, USAUniversity of Texas Medical Branch, 301 University Boulevard, 5.106 John Sealy Annex, Galveston, TX 77555-0553, USADyspnea accounts for more than one-fourth of the hospital admissions from Emergency Department. Chronic conditions such as Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, and Asthma are being common etiologies. Less common etiologies include conditions such as valvular heart disease, pulmonary embolism, and right-to-left shunt (RLS) from patent foramen ovale (PFO). PFO is present in estimated 20–30% of the population, mostly a benign condition. RLS via PFO usually occurs when right atrium pressure exceeds left atrium pressure. RLS can also occur in absence of higher right atrium pressure. We report one such case that highlights the importance of high clinical suspicion, thorough evaluation, and percutaneous closure of the PFO leading to significant improvement in the symptoms.http://dx.doi.org/10.1155/2017/9848696
spellingShingle Hussain Ibrahim
Adnan Khan
Shawn P. Nishi
Ken Fujise
Syed Gilani
Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis
Case Reports in Pulmonology
title Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis
title_full Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis
title_fullStr Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis
title_full_unstemmed Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis
title_short Symptomatic Patent Foramen Ovale with Hemidiaphragm Paralysis
title_sort symptomatic patent foramen ovale with hemidiaphragm paralysis
url http://dx.doi.org/10.1155/2017/9848696
work_keys_str_mv AT hussainibrahim symptomaticpatentforamenovalewithhemidiaphragmparalysis
AT adnankhan symptomaticpatentforamenovalewithhemidiaphragmparalysis
AT shawnpnishi symptomaticpatentforamenovalewithhemidiaphragmparalysis
AT kenfujise symptomaticpatentforamenovalewithhemidiaphragmparalysis
AT syedgilani symptomaticpatentforamenovalewithhemidiaphragmparalysis