An extreme case of platypnoea-orthodeoxia syndrome

作者:O'Gallagher Kevin*; Chou Evelyn; Jeyabraba Swarna; Sinha Aish; Robb Daniel; Byrne Jonathan
来源:Clinical Medicine, 2016, 16(5): 453-454.
DOI:10.7861/clinmedicine.16-5-453

摘要

An 80-year-old female presented with progressive breathlessness, worse on sitting or standing and relieved by lying flat. Subsequent investigations identified a patent foramen ovale (PFO) with right-to-left flow across the interatrial septum (IAS). A diagnosis of platypnoea orthodeoxia syndrome secondary to inter-atrial shunting was made. Technical features precluded a percutaneous PFO closure so an open surgical repair was performed with complete resolution of symptoms. We discuss the pathophysiology and management of platypnoea orthodeoxia syndrome.

  • 出版日期2016-10

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