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Severe Refractory Hypoxemia Following a Gunshot Injury
Journal article   Peer reviewed

Severe Refractory Hypoxemia Following a Gunshot Injury

Ismail T. Dairywala, Juzar Lokhandwala, Herbert Patrick, Raymond Talucci and Diwakar Jain
Chest, v 127(1), pp 398-401
Jan 2005
PMID: 15654006

Abstract

contrast echocardiography penetrating chest trauma pulmonary arteriovenous fistula
We describe the case of a 57-year-old man with severe refractory hypoxemia, despite receiving ventilation therapy with 100% oxygen, following a gunshot wound to his left chest. A limited CT scan of the chest with contrast raised the suspicion of an arteriovenous (AV) fistula. Contrast-enhanced transthoracic echocardiography confirmed the presence of a pulmonary AV fistula. Traumatic pulmonary AV fistula is a rare, but serious and life-threatening condition that should be suspected in patients with thoracic injuries with persistent unexplained hypoxemia. Contrast echocardiography is a relatively simple, inexpensive, and readily available bedside test that can be used to confirm this diagnosis.

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Web of Science research areas
Critical Care Medicine
Respiratory System
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