Platypnea-orthodeoxia syndrome years after acute pulmonary embolism: Two consecutive cases
Annals of Clinical Cardiology
; 3(2):85-88, 2021.
Article
in English
| EMBASE | ID: covidwho-1744818
ABSTRACT
Platypnea-Orthodeoxia syndrome (POS) is a rare condition in which dyspnoea and arterial oxygen desaturation are present in the upright position, while in the supine position, they are alleviated. It is observed in the presence of an anatomical (intra-or extracardiac) communication between the right and left heart causing a right-to-left shunt. POS is most frequently caused by a patent foramen ovale (PFO) and usually, the clinical assessment and a transthoracic echocardiograms with bubble study are enough to reach the diagnosis. The only possible treatment of POS is the percutaneous closure of the defect. We describe two cases of POS due to a PFO which manifested itself years after an episode of acute pulmonary embolism (PE), a finding never reported to date in the literature. Few cases describe the relationship between PE and POS, but these conditions may be more closely related than we currently think.
atrial septal occluder; Gore Cardioform Septal Occluder; transcranial doppler; Venturi mask; C reactive protein; abdominal radiography; acute disease; acute respiratory failure; aged; arterial gas; arterial oxygen saturation; article; atrial septal aneurysm; case report; chronic respiratory failure; clinical article; computed tomographic angiography; COVID-19 testing; deep vein thrombosis; disease severity; dyslipidemia; dyspnea; epigastric pain; estimated glomerular filtration rate; fatigue; female; high flow nasal cannula therapy; home oxygen therapy; hospital discharge; human; hypertension; hypocapnia; hypoxemia; knee surgery; lung angiography; lung embolism; lung tuberculosis; magnetic resonance angiography; nasopharyngeal swab; oxygen desaturation; patent foramen ovale; pathogenesis; platypnea orthodeoxia syndrome; point of care testing; postoperative complication; pulmonary shunt; reverse transcription polymerase chain reaction; Severe acute respiratory syndrome coronavirus 2; sitting; standing; supine position; thorax radiography; transcranial Doppler ultrasonography; transesophageal echocardiography; transthoracic echocardiography; very elderly
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Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Annals of Clinical Cardiology
Year:
2021
Document Type:
Article
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