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Case Reports
. 2012 Jul 9:2012:bcr1220115442.
doi: 10.1136/bcr.12.2011.5442.

If at first you do not succeed, think again!

Subramanya G N Upadhyaya  1 , Andrew J Ritchie, Toomas Sarev, Alisdair Ryding
Affiliations
Case Reports

If at first you do not succeed, think again!

Subramanya G N Upadhyaya et al. BMJ Case Rep. .

Abstract

The authors describe a case of platypnoea orthodeoxia syndrome in an 83-year-old man with a fenestrated atrial septal defect and severe coronary artery disease. The patient had been admitted to hospital six times in the previous year with acute breathlessness, attributed to paroxysmal atrial fibrillation. The patient's symptoms resolved completely following surgical repair of the defect and coronary artery bypass grafting.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Transoesophageal echocardiography. A) Interatrial septal aneurysm. B) Fenestrated atrial septal defect with left to right shunting.
Figure 2
Figure 2
Coronary angiography. A) Left coronary system. Right anterior oblique caudal view. B) Right coronary artery. Left anterior oblique view.
Figure 3
Figure 3
Intraoperative photographs. A) Inter atrial septum with fenestrated atrial septal defect held with forceps. B) Atrial septal defect patch closure.
See this image and copyright information in PMC

References

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