RESUMEN

This report describes a patient in the recovery phase of the adult respiratory distress syndrome in whom the persistence of severe hypoxemia was not corrected by a high fractional concentration of oxygen in the inspired gas and positive end-expiratory pressure. A right-to-left interatrial shunt was diagnosed by M-mode and cross-sectional echocardiography with saline injection, and the presence of a patent foramen ovale was confirmed at the time of cardiac surgery.

Asunto(s)

Defectos del Tabique Interatrial/complicaciones , Hipoxia/etiología , Síndrome de Dificultad Respiratoria/complicaciones , Ecocardiografía , Femenino , Defectos del Tabique Interatrial/diagnóstico , Humanos , Persona de Mediana Edad , Respiración con Presión Positiva , Síndrome de Dificultad Respiratoria/terapia