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Platypnea‐orthodeoxia syndrome associated with aortic insufficiency and aortic elongation
Author(s) -
Soga Yoshiharu,
Kira Hiromasa,
Ikeda Tomoyuki,
Su Takamitsu,
Doi Kazuhiko,
Wakamiya Makoto,
Nakano Akira,
Himura Yoshihiro
Publication year - 2018
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13712
Subject(s) - medicine , patent foramen ovale , supine position , cardiology , shunt (medical) , sitting , ascending aorta , aortic valve , aorta , surgery , pathology , migraine
An 81‐year‐old female developed dyspnea only upon assuming a sitting position. Trans‐esophageal echocardiography demonstrated left‐to‐right shunt flow across the atrial septum when the patient was sitting, and right‐to‐left shunt flow when she was supine, along with severe aortic insufficiency. She was diagnosed as having platypnea‐orthodeoxia syndrome and her symptoms were completely resolved following aortic valve replacement, closure of a patent foramen ovale, and shortening of an elongated ascending aorta.