• Ned Tijdschr Geneeskd · Jan 2010

    Case Reports

    [Platypnea-orthodeoxia syndrome].

    • Jan Willem Buikema and Peter Paul van Geel.
    • Universitair Medisch Centrum Groningen, afd. Cardiologie, Groningen, the Netherlands.
    • Ned Tijdschr Geneeskd. 2010 Jan 1; 154: A2613.

    AbstractAn 82-year-old woman presented with dyspnoea and palpitations. The patient was admitted to the cardiology ward on suspicion of atrial fibrillation and reduced cardiac output. Examination revealed position-dependent deoxygenation. Once acute cardiac or pulmonary pathologies were excluded a diagnosis of platypnea-orthodeoxia was considered. Diagnosis was confirmed by transoesophageal contrast echocardiography, which showed a patent foramen ovale. Curative treatment consisted of percutaneous closure of the foramen ovale. A persistent asymptomatic foramen ovale is common and can be revealed in later life. Platypnea-orthodeoxia syndrome is a relatively unfamiliar disorder.

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