Document Detail

Pulmonary and paradoxical embolism with platypnoea-orthodeoxia.
MedLine Citation:
PMID:  22083010     Owner:  NLM     Status:  In-Data-Review    
This article outlines the case of a 62-year-old man who presented with a deep vein thrombosis, pulmonary embolus and right middle cerebral artery territory ischaemic stroke in association with a patent foramen ovale with right-to-left shunting. Despite anticoagulation, he was noted to have desaturation and tachypnoea when upright, without other symptoms or cardiovascular compromise, that resolved on lying down. The article describes the syndrome of platypnoea-orthodeoxia, characterized by breathlessness, hypoxia and/or cyanosis while in the upright position that improves on lying down, its relationship to this case, and its resolution by closure of the patent foramen ovale.
Santhosh Seetharaman; Boris Lams; Anthony Rudd; Jonathan Birns
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of hospital medicine (London, England : 2005)     Volume:  72     ISSN:  1750-8460     ISO Abbreviation:  Br J Hosp Med (Lond)     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101257109     Medline TA:  Br J Hosp Med (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  652-3     Citation Subset:  IM    
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