Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment

A 77-year-old woman developed dyspnea over three years which occurred during sitting, standing or walking. Her physical examination, chest X-ray, ECG and cardiac catheterization results were all normal. A marked fall in arterial oxygen saturation was observed on sitting or standing. Transesophageal...

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Autores principales: Kazawa, Shuichiro, Enomoto, Takashi, Suzuki, Naomasa, Koshikawa, Tomoyasu, Okubo, Yuka, Yoshii, Shinpei, Sato, Masahito, Okabe, Masaaki, Yamashina, Akira, Aizawa, Yoshifusa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337462/
https://www.ncbi.nlm.nih.gov/pubmed/28090047
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author Kazawa, Shuichiro
Enomoto, Takashi
Suzuki, Naomasa
Koshikawa, Tomoyasu
Okubo, Yuka
Yoshii, Shinpei
Sato, Masahito
Okabe, Masaaki
Yamashina, Akira
Aizawa, Yoshifusa
author_facet Kazawa, Shuichiro
Enomoto, Takashi
Suzuki, Naomasa
Koshikawa, Tomoyasu
Okubo, Yuka
Yoshii, Shinpei
Sato, Masahito
Okabe, Masaaki
Yamashina, Akira
Aizawa, Yoshifusa
author_sort Kazawa, Shuichiro
collection PubMed
description A 77-year-old woman developed dyspnea over three years which occurred during sitting, standing or walking. Her physical examination, chest X-ray, ECG and cardiac catheterization results were all normal. A marked fall in arterial oxygen saturation was observed on sitting or standing. Transesophageal echocardiography showed an increase of right to left shunt flow on sitting. The patient was diagnosed with platypnea-orthodeoxia syndrome and underwent the surgical closure of an atrial septal defect of 19 mm in diameter. After the surgery, the patient's POS symptoms were completely resolved. She was discharged and followed at the outpatient clinic. Her post-treatment course was uneventful.
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spelling pubmed-53374622017-03-08 Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment Kazawa, Shuichiro Enomoto, Takashi Suzuki, Naomasa Koshikawa, Tomoyasu Okubo, Yuka Yoshii, Shinpei Sato, Masahito Okabe, Masaaki Yamashina, Akira Aizawa, Yoshifusa Intern Med Case Report A 77-year-old woman developed dyspnea over three years which occurred during sitting, standing or walking. Her physical examination, chest X-ray, ECG and cardiac catheterization results were all normal. A marked fall in arterial oxygen saturation was observed on sitting or standing. Transesophageal echocardiography showed an increase of right to left shunt flow on sitting. The patient was diagnosed with platypnea-orthodeoxia syndrome and underwent the surgical closure of an atrial septal defect of 19 mm in diameter. After the surgery, the patient's POS symptoms were completely resolved. She was discharged and followed at the outpatient clinic. Her post-treatment course was uneventful. The Japanese Society of Internal Medicine 2017-01-15 /pmc/articles/PMC5337462/ /pubmed/28090047 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kazawa, Shuichiro
Enomoto, Takashi
Suzuki, Naomasa
Koshikawa, Tomoyasu
Okubo, Yuka
Yoshii, Shinpei
Sato, Masahito
Okabe, Masaaki
Yamashina, Akira
Aizawa, Yoshifusa
Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment
title Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment
title_full Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment
title_fullStr Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment
title_full_unstemmed Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment
title_short Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The Diagnosis and Choice of Treatment
title_sort platypnea-orthodeoxia syndrome in a patient with an atrial septal defect: the diagnosis and choice of treatment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337462/
https://www.ncbi.nlm.nih.gov/pubmed/28090047
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