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Cardiothoracic Surgery: Fellow Case Report Poster - Cardiac and Transplant Surgery |

A Double Whammy: Platypnea-Orthodexia Syndrome Due to Both Trans-Pulmonary and Trans-Atrial Shunting

Raju Reddy, MD; Ray Matthews, MD
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University of Southern California, Los Angeles, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):40A. doi:10.1016/j.chest.2016.08.047
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SESSION TITLE: Fellow Case Report Poster - Cardiac and Transplant Surgery

SESSION TYPE: Affiliate Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Platypnea-orthodeoxia syndrome (POS) is characterized by platypnea-orthodeoxia, right to left intra-cardiac shunting and normal right atrial (RA) pressures. We report a case of POS in a 53 year-old man with a history of cryptogenic liver cirrhosis, type 2 diabetes mellitus, hepatopulmonary syndrome (HPS) and a patent foramen ovale (PFO), who underwent a liver transplant followed by worsening hypoxemia unexpectedly.

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