Platypnoea-orthodeoxia syndrome in the elderly: A difficult-to-make diagnosis of intracardiac right-to-left shunt
| Autor: | Enrico Maria Zardi, Luciana Locorriere, Bruno Beomonte Zobel, Silvia Mazzaroppi, Germano Di Sciascio, Silvia Spoto, Sebastiano Costantino, Giulio Cacioli |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Cirrhosis Right-to-left shunt Posture Foramen Ovale Patent 030204 cardiovascular system & hematology Intracardiac injection Hypoxemia 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery Medicine Humans Hypoxia Platypnea Aged business.industry Heart Septal Defects Endovascular Procedures General Medicine Syndrome Hypoxia (medical) medicine.disease Shunt (medical) Dyspnea Treatment Outcome Patent foramen ovale Cardiology Female medicine.symptom business 030217 neurology & neurosurgery Echocardiography Transesophageal |
| Zdroj: | Scottish medical journal. 62(3) |
| ISSN: | 0036-9330 |
| Popis: | Introduction Platypnea-orthodeoxia syndrome is a combination of positional dyspnoea and hypoxemia; it is caused by several cardiac, pulmonary and hepatic diseases. Case presentation In this study, we describe a 77-year-old female affected by unexplained dizziness and hypoxia that exacerbated in upright position. After diagnosing platypnea-orthodeoxia syndrome and excluding all possible causes (liver cirrhosis, acute and chronic pulmonary diseases and arteriovenous malformations), the origin of the syndrome was individuated in the presence of a patent foramen ovale with right-to-left shunt. Endovascular patent foramen ovale closure permitted the resolution of symptoms and disappearance of platypnea-orthodeoxia syndrome. Conclusion Although patent foramen ovale may be present since birth without giving clinical signs, it may represent a common enough cause of platypnea-orthodeoxia syndrome and other vascular complications in the elderly. |
| Databáze: | OpenAIRE |
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