If at first you do not succeed, think again!
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.
Cardiology Department, James Paget Hospital, Great Yarmouth, UK.
Subramanya G N
SG
Upadhyaya
Andrew J
AJ
Ritchie
Toomas
T
Sarev
Alisdair
A
Ryding
D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D004418:Dyspnea, Paroxysmal / Q000175:diagnosis / Q000209:etiology*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male