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Rev Med Interne ; 44(3): 143-145, 2023 Mar.
Article in French | MEDLINE | ID: covidwho-2211349

ABSTRACT

INTRODUCTION: The platypnea-orthodeoxia syndrome is a rare situation characterized by the appearance of dyspnea and/or hypoxemia during the transition to orthostatism. OBSERVATIONS: We report the case of two patients, who presented with a platypnea-orthodeoxia syndrome following pneumocystis pneumonia and COVID-19, revealing an intracardiac communication with a right-left shunt on contrast ultrasound. CONCLUSION: This syndrome can be detected easily at the bedside with positional maneuvers and the shunt demonstrated by a hyperoxia test. Non-reversible situations may require correction of the anatomical anomaly by transcatheter intervention or surgery.


Subject(s)
COVID-19 , Foramen Ovale, Patent , Pneumonia , Humans , Foramen Ovale, Patent/complications , Foramen Ovale, Patent/surgery , Platypnea Orthodeoxia Syndrome , Posture , COVID-19/complications , Dyspnea/etiology , Dyspnea/complications
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