Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Popp, G.
Right arrow Articles by Garnett, A. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Popp, G.
Right arrow Articles by Garnett, A. R., Jr.
(Chest. 1997;112:1682-1684.)
© 1997 American College of Chest Physicians

Platypnea-Orthodeoxia Related to Aortic Elongation

Gabriele Popp MD1; Hasan Melek MD1; and A. Randolph Garnett Jr. MD, FCCP2

1 From the Department of Internal Medicine, Sentara Norfolk General Hospital, Norfolk, Virginia
2 From the Eastern Virginia Medical School, and NDC Medical Center, Sentara Norfolk General Hospital, Norfolk, Virginia

An 80-year-old woman presented with progressive shortness of breath. There was no history of pulmonary or cardiac disease. Results of a physical examination were normal. She had significant oxygen desaturation while she was in an upright position. Admission to the hospital for workup followed, and evaluation included tilt-table transesophageal echocardiogram and cardiac catheterization. A massive right-to-left shunt through a patent foramen ovale was detected, and surgical intervention resulted in dramatic improvement of symptoms. In this patient, it seems that the syndrome of platypnea-orthodeoxia was related to aortic elongation, allowing significant right-to-left shunt.

Submitted on March 18, 1997
Accepted on May 2, 2007




This article has been cited by other articles:


Home page
 NEJMHome page
D. D. Hegland, G. A. Kunz, J. K. Harrison, and A. Wang
Clinical problem-solving. A hole in the argument.
N. Engl. J. Med., December 1, 2005; 353(22): 2385 - 2390.
[Full Text] [PDF]

Home page
 HeartHome page
J-C Eicher, P Bonniaud, N Baudouin, A Petit, G Bertaux, E Donal, J F Piechaud, M David, P Louis, and J E Wolf
Hypoxaemia associated with an enlarged aortic root: a new syndrome?
Heart, August 1, 2005; 91(8): 1030 - 1035.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S. Ghamande, R. Ramsey, J. F. Rhodes, and J. K. Stoller
Right Hemidiaphragmatic Elevation With a Right-to-Left Interatrial Shunt Through a Patent Foramen Ovale : A Case Report and Literature Review
Chest, December 1, 2001; 120(6): 2094 - 2096.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S. S. Acharya and R. Kartan
A Case of Orthodeoxia Caused by an Atrial Septal Aneurysm
Chest, September 1, 2000; 118(3): 871 - 874.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. Faller, R. Kessler, A. Chaouat, M. Ehrhart, H. Petit, and E. Weitzenblum
Platypnea-Orthodeoxia Syndrome Related to an Aortic Aneurysm Combined With an Aneurysm of the Atrial Septum
Chest, August 1, 2000; 118(2): 553 - 557.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
P Kubler, H Gibbs, and P Garrahy
Platypnoea-orthodeoxia syndrome
Heart, February 1, 2000; 83(2): 221 - 223.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1997 by the American College of Chest Physicians.