[Platypnea-orthodeoxia syndrome: A case of hypoxemia associated with a patent foramen ovale].

Abstract

Platypnea-orthodeoxia syndrome is a rare disease characterized by dyspnea and oxygen desaturation in the upright position with improvement in the supine position. We report a case of an 87-year-old woman with a recent history of traumatic hip, spine deformity and vertebral compression fracture, referred due to dyspnea oxygen desaturation. Thoracic tomodensitometry excluded the diagnosis of pulmonary embolism. Transthoracic echocardiography, with intravenous administration of agitated saline contrast solution, revealed the presence of atrial septal defect associated with a right to left shunting and mild enlargement of aortic root. Surgical closure of atrial septal defect resulted in resolution of the syndrome.

• Authors: C Diaconu, V Abdou, B Safar, F Monsel, W Amara
• Journal: Annales de cardiologie et d'angeiologie (Ann Cardiol Angeiol (Paris)) Vol. 64 Issue 5 Pg. 406-9 (Nov 2015) ISSN: 1768-3181 [Electronic] France
• Vernacular Title: Platypnée-orthodéoxie: un cas rare d'hypoxémie secondaire d'une réouverture post-traumatique du foramen ovale perméable.
• PMID: 26482634 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Topics

• Aged, 80 and over
• Dyspnea (etiology)
• Female
• Foramen Ovale, Patent (complications)
• Humans
• Hypoxia (etiology)
• Syndrome