Platypnea-orthodeoxia syndrome in patients presenting enlarged aortic root: case report and literature review
| Autor: | Felippe Leopoldo Dexheimer Neto, Marcelo Cúrcio Gib, Ana Lúcia Martins Costa, Raquel da Silva Townsend |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Critical Care Posture Aortic Diseases Case Report Critical Care and Intensive Care Medicine Severity of Illness Index Intracardiac injection Diagnosis Differential Orthostatic vital signs Internal medicine Intensive care Severity of illness medicine Humans In patient Hypoxia Aged 80 and over Heart septal defects Aortic aneurysm Case reports business.industry General Medicine Hypoxia (medical) Dyspnea Etiology Cardiology Female Differential diagnosis medicine.symptom business Respiratory insufficiency |
| Zdroj: | Revista Brasileira de Terapia Intensiva |
| ISSN: | 1982-4335 0103-507X |
| Popis: | We describe herein a case of a patient who, when in orthostatic positions, had severe hypoxemia and ventilatory dysfunction. Although the severity of symptoms required hospitalization in an intensive care setting, the initial tests only identified the presence of enlarged aortic root, which did not explain the condition. The association of these events with an unusual etiology, namely intracardiac shunt, characterized the diagnosis of platypnea-orthodeoxia syndrome. The literature review shows that, with advancing research methods, there was a progressive increase in the identification of this condition, and this association should be part of the differential diagnosis of dyspnea in patients with enlarged aortic root. |
| Databáze: | OpenAIRE |
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