Orthodeoxia and Platypnea Secondary to a Patent Foramen Ovale Despite Normal Right Sided Cardiac Pressures

Autor: Mark Varkul, Trevor Robinson, Elane Ng, Robert Hyland
Jazyk: angličtina
Rok vydání: 2001
Předmět:
Zdroj: Canadian Respiratory Journal, Vol 8, Iss 2, Pp 105-107 (2001)
Druh dokumentu: article
ISSN: 1198-2241
DOI: 10.1155/2001/319027
Popis: Numerous cases of orthodeoxia and platypnea have been reported. Some have been found to be due to intracardiac shunts despite normal intracardiac pressures. In the case presented, a 79-year-old woman was noted to have orthodeoxia and platypnea secondary to a patent foramen ovale (PFO) despite normal intracardiac pressures. She recovered after closure of the PFO. The authors postulate that recent vertebral fractures and subsequent kyphosis, as well as a dilated thoracic aorta, altered intrathoracic relationships and may have led to a stream of venous return being directed across the PFO in the upright position, despite normal intracardiac pressures.
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