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Real Time Three‐Dimensional Transesophageal Echocardiographic Images of Platypnea‐Orthodeoxia Due to Patent Foramen Ovale
Author(s) -
Sasaki Toshiharu,
Miyasaka Yoko,
Suwa Yoshinobu,
Senoo Takeshi,
Ohtagaki Munemitsu,
Maeba Hirofumi,
Tsujimoto Satoshi,
Shiojima Ichiro
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12096
Subject(s) - patent foramen ovale , medicine , transesophageal echocardiogram , cardiology , sitting , foramen ovale (heart) , transthoracic echocardiogram , pathology , migraine
Mini‐Abstract We present echocardiographic images of a patient with platypnea‐orthodeoxia syndrome associated with the patent foramen ovale that was successfully diagnosed by transesophageal echocardiogram in the sitting position. The postural changes of the patent foramen ovale, which is difficult to detect with transthoracic echocardiography, were dynamically detected by real time three‐dimensional transesophageal echocardiography. Because patients with interatrial communication are not rare, this syndrome might be overlooked in patients with unexplained dyspnea. Therefore, it is necessary to enter this entity in differential diagnosis when one sees alteration of oxygen saturation by posture change.