An Unusual Case of Hypoxemia Improving Overnight in Idiopathic Pulmonary Fibrosis Annalisa Carlucci, MD, Piero Ceriana, MD, Angelo Micheletti, MD, Annia.

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An Unusual Case of Hypoxemia Improving Overnight in Idiopathic Pulmonary Fibrosis Annalisa Carlucci, MD, Piero Ceriana, MD, Angelo Micheletti, MD, Annia Schreiber, MD, Gianfranco Butera, MD, PhD Journal of Cardiothoracic and Vascular Anesthesia Volume 29, Issue 5, Pages e64-e66 (October 2015) DOI: 10.1053/j.jvca.2015.04.018 Copyright © 2015 Elsevier Inc. Terms and Conditions

Fig 1 High-resolution computed tomography showing a pattern of interstitial lung disease with basal and peripheral predominant, reticular abnormality, and some multiple layers of honeycombing (arrows). Journal of Cardiothoracic and Vascular Anesthesia 2015 29, e64-e66DOI: (10.1053/j.jvca.2015.04.018) Copyright © 2015 Elsevier Inc. Terms and Conditions

Fig 2 Transesophageal echocardiographic evaluation. Left upper: short-axis view of a wide patent foramen ovale (small arrow) associated with atrial septal aneurysm (bold arrow). Right upper: significant right-to-left shunting with contrast echocardiography (small arrow). Left bottom: balloon-sizing (small arrow) of patent foramen ovale. Right bottom: patent foramen ovale device (small arrow) is in place, and no right-to-left shunting can be seen. Journal of Cardiothoracic and Vascular Anesthesia 2015 29, e64-e66DOI: (10.1053/j.jvca.2015.04.018) Copyright © 2015 Elsevier Inc. Terms and Conditions