Open AccessA case of orthodeoxia platypnoea in a patient with adult polycystic kidney and liver disease with a patent foramen ovale
Author(s) -
Jennifer Graves,
Martina Mason,
D. Richard Laws
Publication year - 2007
Publication title -
acute medicine
Language(s) - English
Resource type - Journals
eISSN - 1747-4892
pISSN - 1747-4884
DOI - 10.52964/amja.0179
Subject(s) - medicine , patent foramen ovale , shunt (medical) , polycystic kidney , inferior vena cava , cardiology , ventricle , right to left shunt , polycystic kidney disease , liver disease , kidney , surgery , migraine
We describe a case of a patient with polycystic kidney and liver disease presenting with a 4 year history of shortness of breath. This was caused by a liver cyst pressing on the inferior vena cava, right atrium and ventricle, leading to a right to left shunt across a patent foramen ovale. This is consistent with the condition Orthodeoxia Platypnoea, which occurs when desaturation and dyspnoea occur in the upright position in association with an intra atrial shunt.