If at first you do not succeed, think again!

Subramanya G N Upadhyaya; Andrew J Ritchie; Toomas Sarev; Alisdair Ryding

doi:10.1136/bcr.12.2011.5442

If at first you do not succeed, think again!

BMJ Case Rep. 2012 Jul 9:2012:bcr1220115442. doi: 10.1136/bcr.12.2011.5442.

Authors

Subramanya G N Upadhyaya¹, Andrew J Ritchie, Toomas Sarev, Alisdair Ryding

Affiliation

¹ Cardiology Department, James Paget Hospital, Great Yarmouth, UK.

Abstract

The authors describe a case of platypnoea orthodeoxia syndrome in an 83-year-old man with a fenestrated atrial septal defect and severe coronary artery disease. The patient had been admitted to hospital six times in the previous year with acute breathlessness, attributed to paroxysmal atrial fibrillation. The patient's symptoms resolved completely following surgical repair of the defect and coronary artery bypass grafting.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Cardiac Surgical Procedures / methods*
Coronary Angiography
Coronary Artery Bypass / methods
Coronary Artery Disease / complications
Coronary Artery Disease / diagnosis
Coronary Artery Disease / surgery*
Diagnosis, Differential
Dyspnea, Paroxysmal / diagnosis
Dyspnea, Paroxysmal / etiology*
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Follow-Up Studies
Heart Septal Defects, Atrial / complications
Heart Septal Defects, Atrial / diagnosis
Heart Septal Defects, Atrial / surgery*
Humans
Male