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Case Reports
. 2010 Apr;26(4):213-4.
doi: 10.1016/s0828-282x(10)70372-x.

Platypnea-orthodeoxia syndrome in an elderly woman with a patent foramen ovale

Cameron W Pierce  1
Affiliations
Case Reports

Platypnea-orthodeoxia syndrome in an elderly woman with a patent foramen ovale

Cameron W Pierce. Can J Cardiol. 2010 Apr.

Abstract
in English, French

A case of an 85-year-old woman with gradually progressive but severe dyspnea is reported. A thorough workup disclosed platypnea-orthodeoxia syndrome associated with right-to-left shunting through a patent foramen ovale, in the presence of several other recognized risk factors, despite the absence of significant pulmonary hypertension. Successful percutaneous transcatheter closure of the intracardiac defect resulted in resolution of the syndrome.

Les auteurs rendent compte du cas d’une femme de 85 ans ayant une dyspnée évolutive, mais grave. Un bilan approfondi a révélé un syndrome de platypnée-orthodéoxie associé à une dérivation droite-gauche par une persistance du foramen ovale, en présence d’autres facteurs de risque reconnus et malgré l’absence d’hypertension pulmonaire. Une fermeture par transcathéter percutané de l’anomalie intracardiaque a permis la résolution du syndrome.

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Figures

Figure 1)
Figure 1)
Echocardiogram demonstrating near-interatrial septal aneurysm and a prominent Eustachian valve
Figure 2)
Figure 2)
Transesophageal echocardiogram without contrast demonstrating a patent foramen ovale
Figure 3)
Figure 3)
Transesophageal echocardiogram with agitated saline contrast demonstrating significant shunting through the patent foramen ovale, from the right atrium into the left atrium
Figure 4)
Figure 4)
Transesophageal echocardiogram demonstrating good positioning of a septal closure device
See this image and copyright information in PMC

References

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