Abstract
Platypnea is characterized by breathlessness in the upright position. Orthodeoxia is defined by arterial desaturation on standing. Herein we describe a case of platypnea-orthodeoxia syndrome in a patient who underwent a right pneumonectomy for adenocarcinoma of the lung. Closure of a patent foramen ovale, causing a right-to-left shunt, with an Amplatzer device, produced immediate symptomatic relief.
MeSH terms
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Adenocarcinoma / pathology
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Adenocarcinoma / surgery
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Diagnosis, Differential
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Echocardiography, Transesophageal
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Embolization, Therapeutic / instrumentation
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Foramen Ovale, Patent / diagnosis
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Foramen Ovale, Patent / etiology*
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Foramen Ovale, Patent / therapy
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Humans
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Lung Neoplasms / pathology
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Lung Neoplasms / surgery*
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Male
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Middle Aged
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Pneumonectomy / adverse effects*
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Postoperative Complications
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Syndrome