Platypnea-orthodeoxia syndrome associated with aortic insufficiency and aortic elongation.
Yoshiharu SogaHiromasa KiraTomoyuki IkedaTakamitsu SuKazuhiko DoiMakoto WakamiyaAkira NakanoYoshihiro HimuraPublished in: Journal of cardiac surgery (2018)
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.
Keyphrases
- aortic valve
- pulmonary artery
- aortic valve replacement
- pulmonary hypertension
- aortic stenosis
- transcatheter aortic valve implantation
- coronary artery
- transcatheter aortic valve replacement
- case report
- aortic dissection
- left ventricular
- pulmonary arterial hypertension
- atrial fibrillation
- early onset
- heart failure
- left atrial
- physical activity
- advanced cancer
- mitral valve