Platypnea-orthodeoxia syndrome after pneumonectomy relieved by mediastinal repositioning.
Platypnea-orthodeoxia is a rare syndrome characterized by hypoxemia in the upright position after pneumonectomy and relieved by recumbency. This syndrome is often a post-pneumonectomy complication due to intracardiac shunt, usually at the atrial level. We report a case after right pneumonectomy without interatrial shunt. The patient was successfully treated with a silicone prosthesis implant in the post-pneumonectomy space. We believe that correction of this clinical situation has not been previously described.
Kotoulas
Christophoros
C
Cardiothoracic Surgery Department, Manchester Royal Infirmary, Manchester, United Kingdom. chrkotoulas@hol.gr
Patris
Konstantinos
K
Tsintiris
Konstantinos
K
Zoumboulides
Antonios
A
Lazarides
Kiriakos
K
Laoutides
Georgios
G
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D018450:Disease Progression; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006801:Humans; D000860:Hypoxia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008482:Mediastinum / Q000502:physiology; D008875:Middle Aged; D009367:Neoplasm Staging; D035422:Pleural Cavity / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011187:Posture; D019736:Prostheses and Implants; D012828:Silicones; D013577:Syndrome; D013908:Thoracotomy / Q000379:methods
D012828:Silicones