Document Detail

Platypnea-orthodeoxia related to aortic elongation.
MedLine Citation:
PMID:  9404772     Owner:  NLM     Status:  MEDLINE    
An 80-year-old woman presented with progressive shortness of breath. There was no history of pulmonary or cardiac disease. Results of a physical examination were normal. She had significant oxygen desaturation while she was in an upright position. Admission to the hospital for workup followed, and evaluation included tilt-table transesophageal echocardiogram and cardiac catheterization. A massive right-to-left shunt through a patent foramen ovale was detected, and surgical intervention resulted in dramatic improvement of symptoms. In this patient, it seems that the syndrome of platypnea-orthodeoxia was related to aortic elongation, allowing significant right-to-left shunt.
G Popp; H Melek; A R Garnett
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Chest     Volume:  112     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-01-06     Completed Date:  1998-01-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1682-4     Citation Subset:  AIM; IM    
Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, USA.
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MeSH Terms
Aged, 80 and over
Anoxia / diagnosis,  etiology*
Aorta, Thoracic
Aortic Diseases / complications*,  diagnosis,  etiology
Diagnosis, Differential
Dyspnea / diagnosis,  etiology*
Heart Septal Defects, Atrial / complications,  diagnosis
Comment In:
Chest. 1997 Dec;112(6):1449-51   [PMID:  9404736 ]

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