Platypnea-orthodeoxia syndrome: a rare complication after right pneumonectomy.
Platypnea is characterized by breathlessness in the upright position. Orthodeoxia is defined by arterial desaturation on standing. Herein we describe a case of platypnea-orthodeoxia syndrome in a patient who underwent a right pneumonectomy for adenocarcinoma of the lung. Closure of a patent foramen ovale, causing a right-to-left shunt, with an Amplatzer device, produced immediate symptomatic relief.
Bhattacharya
Kausik
K
Department of Cardiothoracic Surgery, Edinburgh Royal Infirmary, Edinburgh, United Kingdom. k.bhattacharya@ed.ac.uk
Birla
Rashmi
R
Northridge
David
D
Zamvar
Vipin
V
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000295:instrumentation; D054092:Foramen Ovale, Patent / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D013577:Syndrome