Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Nov;12(6):687-9.
doi: 10.11909/j.issn.1671-5411.2015.06.015.

Uncommon late presentation of platypnea-orthodeoxia syndrome

Affiliations

Uncommon late presentation of platypnea-orthodeoxia syndrome

Laura Toffetti et al. J Geriatr Cardiol. 2015 Nov.
No abstract available

Keywords: Patent foramen ovale; Platypnea-orthodeoxia; The elderly.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.. Transthoracic and transesophageal echocardiographic images.
(A): TTE (apical 4 chambers view) with agitated saline contrast showing few microbubbles crossing atrial septum in the supine position; (B): TTE (apical 4 chambers view) with agitated saline contrast demonstrating massive right-to-left shunting with complete left chambers opacification in the upright position; (C): TEE without contrast showing PFO with a direct communication between LA and RA in the supine position; and (D): TEE without contrast showing larger PFO size with slightly compressed RA due to enlargement of extra-rotated ascending aorta (Ao) in the sitting position. Ao: ascending aorta; LA: left atrium; PFO: patent foramen ovale; RA: right atrium; TTE: transthoracic echocardiogram.
Figure 2.
Figure 2.. Intracardiac echocardiographic image showing the GORE® HELEX® Septal Occluder device placement through the PFO.
LA: left atrium; PFO: patent foramen ovale; RA: right atrium.

References

    1. Cheng TO. Mechanisms of platypnea-orthodeoxia: what causes water to flow uphill? Circulation. 2002;105:e47. - PubMed
    1. Adolph EA, Lacy WO, Hermoni YI, et al. Reversible orthodeoxia and platypnea due to right-to-left intracardiac shunting related to pericardial effusion. Ann Intern Med. 1992;116:138–139. - PubMed
    1. Hashimoto M, Okawa Y, Baba H, et al. Platypnea-orthodeoxia syndrome combined with constrictive pericarditis after coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2006;132:1225–1226. - PubMed
    1. Patakas D, Pitsiou G, Philippou D, et al. Reversible platypnoea and orthodeoxia after surgical removal of an hydatid cyst from the liver. Eur Respir J. 1999;14:725–727. - PubMed
    1. Colombo C, Danna P, Cialfi A, et al. Positional oxygen desaturation: the spectrum of postural changes in arterial oxygen is wider than the pure platypnea-orthodeoxia syndrome. J Cardiovasc Med. 2014;15:431–433. - PubMed