Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy

We describe a case of platypnea-orthodeoxia syndrome (POS) due to atrial septal defect (ASD) occurring in the early postoperative course of a right pneumonectomy. Deformation of the atrial septum after right pneumonectomy deviates the blood from the inferior vena cava to ASD during the sitting posit...

Descripción completa

Detalles Bibliográficos
Autores principales: Bohren, Y., Lopez, M., Santelmo, N., Ristorto, J., Billaud, P., Canuet, M., Mertes, P. M., Collange, O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054779/
https://www.ncbi.nlm.nih.gov/pubmed/32148972
http://dx.doi.org/10.1155/2020/4257185
_version_ 1783503255096000512
author Bohren, Y.
Lopez, M.
Santelmo, N.
Ristorto, J.
Billaud, P.
Canuet, M.
Mertes, P. M.
Collange, O.
author_facet Bohren, Y.
Lopez, M.
Santelmo, N.
Ristorto, J.
Billaud, P.
Canuet, M.
Mertes, P. M.
Collange, O.
author_sort Bohren, Y.
collection PubMed
description We describe a case of platypnea-orthodeoxia syndrome (POS) due to atrial septal defect (ASD) occurring in the early postoperative course of a right pneumonectomy. Deformation of the atrial septum after right pneumonectomy deviates the blood from the inferior vena cava to ASD during the sitting position creating, a massive right-to-left shunt. Diagnosis can initially be missed by making contrast bubble test through the superior vena cava. The atrial septal defect was then closed using the surgical technique, allowing an instantaneous improvement of hematosis.
format Online
Article
Text
id pubmed-7054779
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-70547792020-03-06 Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy Bohren, Y. Lopez, M. Santelmo, N. Ristorto, J. Billaud, P. Canuet, M. Mertes, P. M. Collange, O. Case Rep Crit Care Case Report We describe a case of platypnea-orthodeoxia syndrome (POS) due to atrial septal defect (ASD) occurring in the early postoperative course of a right pneumonectomy. Deformation of the atrial septum after right pneumonectomy deviates the blood from the inferior vena cava to ASD during the sitting position creating, a massive right-to-left shunt. Diagnosis can initially be missed by making contrast bubble test through the superior vena cava. The atrial septal defect was then closed using the surgical technique, allowing an instantaneous improvement of hematosis. Hindawi 2020-02-20 /pmc/articles/PMC7054779/ /pubmed/32148972 http://dx.doi.org/10.1155/2020/4257185 Text en Copyright © 2020 Y. Bohren et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bohren, Y.
Lopez, M.
Santelmo, N.
Ristorto, J.
Billaud, P.
Canuet, M.
Mertes, P. M.
Collange, O.
Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy
title Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy
title_full Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy
title_fullStr Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy
title_full_unstemmed Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy
title_short Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy
title_sort diagnostic pitfall of platypnea-orthodeoxia syndrome caused by atrial septal defect after right pneumonectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054779/
https://www.ncbi.nlm.nih.gov/pubmed/32148972
http://dx.doi.org/10.1155/2020/4257185
work_keys_str_mv AT bohreny diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT lopezm diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT santelmon diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT ristortoj diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT billaudp diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT canuetm diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT mertespm diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy
AT collangeo diagnosticpitfallofplatypneaorthodeoxiasyndromecausedbyatrialseptaldefectafterrightpneumonectomy

Ejemplares similares