Improved gas exchange after pneumonectomy in an adult with incomplete pulmonary vein atresia

Tjip S. van der Werf, Gregor P. M. Mannes, Joffre M. Hew, Rene G. Grevink, Thomas W. van der Mark, Tjark Ebels, Gerard H. Koeter

Groningen University Hospital.
Netherlands

Thorax
Thorax 1994; 49:723-725
DOI: 10.1136/thx.49.7.723

Abstract
Atresia of the pulmonary veins of the left lung and the right upper lobe with moderate pulmonary hypertension was diagnosed in a 20 year old man presenting with exertional dyspnoea and haemoptysis. After left pneumonectomy gas exchange appeared to have improved. This was shown by improved arterial oxygen pressures during all steps of exercise in a cycle ergometer test in comparison with values obtained before surgery. This improvement could be entirely attributed to a decrease in physiological dead space ventilation.

Category
Absence or Atresia of Normal Pulmonary Venous Connections
Pulmonary Hypertension Associated with Stenosis or Atresia of Pulmonary Veins
Symptoms and Quality of Life Associated with Pulmonary Venous Obstruction

Year of Publication: 1994

Age Focus: Adult

Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: Yes