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Platypnea-Orthodeoxia Related to Aortic Elongation

Gabriele Popp; Hasan Melek; A. Randolph Garnett, Jr.
Author and Funding Information

Affiliations: From the Department of Internal Medicine, Sentara Norfolk General Hospital, Norfolk, Virginia,  From the Eastern Virginia Medical School, and NDC Medical Center, Sentara Norfolk General Hospital, Norfolk, Virginia

Affiliations: From the Department of Internal Medicine, Sentara Norfolk General Hospital, Norfolk, Virginia,  From the Eastern Virginia Medical School, and NDC Medical Center, Sentara Norfolk General Hospital, Norfolk, Virginia


1997 by the American College of Chest Physicians


Chest. 1997;112(6):1682-1684. doi:10.1378/chest.112.6.1682
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Abstract

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.


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