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Pneumonectomy in a patient with ventricular septal defect
Author(s) -
MacGILLIVRAY R. G.,
ROCKE D. A.,
SHAMA D. M.,
MITHA A. S.
Publication year - 1988
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1988.tb05548.x
Subject(s) - medicine , intracardiac injection , pneumonectomy , shunt (medical) , pulmonary shunt , bronchiectasis , cardiology , anesthesia , lung
Summary A young man with severe unilateral bronchiectasis and a ventricular septal defect presented for pneumonectomy. Intra‐operative monitoring, which included continuous measurement of systemic and pulmonary oxygen saturations by oximetry, revealed transient reversal of the intracardiac shunt across the defect. The implications of this combination of cardiac and pulmonary disease for anaesthetic management are discussed.