Platypnea-Orthodeoxia syndrome after repair of a paraesophageal hernia.
The Platypnea-Orthodeoxia syndrome is characterised by dyspnoea and deoxygenation accompanying a change from the recumbent to the upright position. An 81-year-old woman had an elective paraesophageal hernia repair. She developed dyspnoea and hypoxemia post-operatively that was worse when upright. An agitated saline echocardiogram revealed a right-to-left shunt through a patent foramen ovale that increased when the patient was upright. Over 3 weeks the patients' shunt, dyspnoea and hypoxemia improved and she was discharged home.
Department of Medicine, Division of Pulmonary & Critical Care Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Sunil
S
Vallurupalli
Ankur
A
Lodha
Yizhak
Y
Kupfer
Sidney
S
Tessler
D000369:Aged, 80 and over; D004417:Dyspnea / Q000209:etiology*; D004935:Esophageal Diseases / Q000601:surgery; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications; D011187:Posture; D013577:Syndrome; D014463:Ultrasonography
D010100:Oxygen