Stroke and Respiratory Failure: Mind the Shunt!

Mano, Diana and Campos, Patricia and Vale, Bruno and Pinto, Alexandre (2021) Stroke and Respiratory Failure: Mind the Shunt! European Journal of Case Reports in Internal Medicine, 8 (12). pp. 1-2. ISSN 2284-2594

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When stroke patients present with respiratory failure, the first thought that clinicians have is that it is probably related to aspiration pneumonia. However, other causes should be considered, such as intracardiac or intrapulmonary shunts, that could present with paradoxical embolism. Paradoxical embolism is a rare entity defined by the occurrence of a venous thrombotic event associated with a systemic arterial embolism. Frequently, paradoxical embolism presents with platypnoea-orthodeoxia syndrome. Platypnoea-orthodeoxia syndrome is uncommon and is characterized by dyspnoea and hypoxaemia induced by orthostatic position, where symptoms and oxygenation are relieved by recumbency. The authors report a case of a patient who presented with an ischaemic stroke and progression to platypnoea-orthodeoxia syndrome with documentation of simultaneous pulmonary embolism and pulmonary arteriovenous malformations.

Item Type: Article
Uncontrolled Keywords: Ischaemic stroke, pulmonary shunt, paradoxical embolism, platypnoea-orthodeoxia syndrome
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 15 Mar 2022 16:46
Last Modified: 15 Mar 2022 16:46

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