Positional cyanosis reveals platypnea-orthodeoxia-syndrome

Positional cyanosis reveals platypnea-orthodeoxia-syndrome

Platypnea-orthodeoxia syndrome is a rare cause of dyspnea, which presents upon standing and resolves when supine. Etiology is multifactorial with a functional component and an anatomical shunt. The most commonly reported shunt is an atrial septal defect, however a shunt can occur in advanced hepatic...

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Main Authors: Colin M. Kenny, Caroline E. Murphy, Lindsay Clough, Deptmer Ashley
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119302631
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spelling doaj-e348ea143c2e492ca915552109c117852020-11-25T02:39:53ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0128Positional cyanosis reveals platypnea-orthodeoxia-syndromeColin M. Kenny0Caroline E. Murphy1Lindsay Clough2Deptmer Ashley3Corresponding author.; Tripler Army Medical Center, Department of Medicine, Division of Internal Medicine, USATripler Army Medical Center, Department of Medicine, Division of Internal Medicine, USATripler Army Medical Center, Department of Medicine, Division of Internal Medicine, USATripler Army Medical Center, Department of Medicine, Division of Internal Medicine, USAPlatypnea-orthodeoxia syndrome is a rare cause of dyspnea, which presents upon standing and resolves when supine. Etiology is multifactorial with a functional component and an anatomical shunt. The most commonly reported shunt is an atrial septal defect, however a shunt can occur in advanced hepatic or pulmonary disease. Treatment is dependent on the type and location of the shunt. In atrial septal defects percutaneous repair is preferred. To follow is a case of iatrogenic platypnea-orthodeoxia syndrome secondary to heart failure guideline directed medical therapy in a 79 year-old woman.http://www.sciencedirect.com/science/article/pii/S2213007119302631
collection DOAJ
language English
format Article
sources DOAJ
author Colin M. Kenny
Caroline E. Murphy
Lindsay Clough
Deptmer Ashley
spellingShingle Colin M. Kenny
Caroline E. Murphy
Lindsay Clough
Deptmer Ashley
Positional cyanosis reveals platypnea-orthodeoxia-syndrome
Respiratory Medicine Case Reports
author_facet Colin M. Kenny
Caroline E. Murphy
Lindsay Clough
Deptmer Ashley
author_sort Colin M. Kenny
title Positional cyanosis reveals platypnea-orthodeoxia-syndrome
title_short Positional cyanosis reveals platypnea-orthodeoxia-syndrome
title_full Positional cyanosis reveals platypnea-orthodeoxia-syndrome
title_fullStr Positional cyanosis reveals platypnea-orthodeoxia-syndrome
title_full_unstemmed Positional cyanosis reveals platypnea-orthodeoxia-syndrome
title_sort positional cyanosis reveals platypnea-orthodeoxia-syndrome
publisher Elsevier
series Respiratory Medicine Case Reports
issn 2213-0071
publishDate 2019-01-01
description Platypnea-orthodeoxia syndrome is a rare cause of dyspnea, which presents upon standing and resolves when supine. Etiology is multifactorial with a functional component and an anatomical shunt. The most commonly reported shunt is an atrial septal defect, however a shunt can occur in advanced hepatic or pulmonary disease. Treatment is dependent on the type and location of the shunt. In atrial septal defects percutaneous repair is preferred. To follow is a case of iatrogenic platypnea-orthodeoxia syndrome secondary to heart failure guideline directed medical therapy in a 79 year-old woman.
url http://www.sciencedirect.com/science/article/pii/S2213007119302631
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AT carolineemurphy positionalcyanosisrevealsplatypneaorthodeoxiasyndrome
AT lindsayclough positionalcyanosisrevealsplatypneaorthodeoxiasyndrome
AT deptmerashley positionalcyanosisrevealsplatypneaorthodeoxiasyndrome
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