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(Chest. 2001;120:1739-1741.)
© 2001 American College of Chest Physicians

Hypoxemia Explained 36 Years Later*

Brian W. Fouty, MD; David A. Lynch, MB; Andrew P. Fontenot, MD and Marvin I. Schwarz, MD, FCCP

* From the Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver, CO.

Correspondence to: Brian Fouty, MD, Box C272, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, 4200 East Ninth Ave, Denver, CO 80262; e-mail: brian.fouty{at}uchsc.edu

A 37-year-old man who had an atrial septal defect (ASD) corrected as an infant was found to be hypoxemic with a 22% shunt. An MRI scan revealed that the patient’s inferior vena cava drained into his left rather than his right atrium, a previously undetected complication of his ASD repair 36 years before.

(CHEST 2001; 120:1739–1740)

Key Words: anomalous venous return • cardiac surgery • congenital heart disease • hypoxemia






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Copyright © 2001 by the American College of Chest Physicians.