Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia
A 23-year-old woman with a history of surgically repaired pulmonary atresia and subsequent severe tricuspid, pulmonic regurgitation, and obesity class II (body mass index, 37.5 kg/m2) presented with 4 months of unexplained hypoxemia and dyspnea that began after an uncomplicated laparoscopic cholecys...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-02-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.1124 |
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| author | Emily Strickland Zachary Kerosky Joseph Krivda Takor Arrey-Mbi |
| author_facet | Emily Strickland Zachary Kerosky Joseph Krivda Takor Arrey-Mbi |
| author_sort | Emily Strickland |
| collection | DOAJ |
| description | A 23-year-old woman with a history of surgically repaired pulmonary atresia and subsequent severe tricuspid, pulmonic regurgitation, and obesity class II (body mass index, 37.5 kg/m2) presented with 4 months of unexplained hypoxemia and dyspnea that began after an uncomplicated laparoscopic cholecystectomy. Further evaluation found hypoxia in the upright position that promptly resolved in the supine position consistent with platypnea-orthodeoxia syndrome. She was found to have a patent foramen ovale that was percutaneously closed with resolution of symptoms. Platypnea-orthodeoxia syndrome incited by laparoscopic abdominal surgery has been rarely reported in literature, but should be considered in the differential of postoperative dyspnea. |
| format | Article |
| id | doaj-art-341439cc7b8845729b9a67e8da29ff20 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-341439cc7b8845729b9a67e8da29ff202025-08-20T02:17:33ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-02-012210.7326/aimcc.2022.1124Platypnea-Orthodeoxia Syndrome: A Rare Cause of HypoxiaEmily Strickland0Zachary Kerosky1Joseph Krivda2Takor Arrey-Mbi31Department of Medicine, Madigan Army Medical Center, Tacoma, Washington1Department of Medicine, Madigan Army Medical Center, Tacoma, Washington2F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland3Cardiology Department, Madigan Army Medical Center, Tacoma, WashingtonA 23-year-old woman with a history of surgically repaired pulmonary atresia and subsequent severe tricuspid, pulmonic regurgitation, and obesity class II (body mass index, 37.5 kg/m2) presented with 4 months of unexplained hypoxemia and dyspnea that began after an uncomplicated laparoscopic cholecystectomy. Further evaluation found hypoxia in the upright position that promptly resolved in the supine position consistent with platypnea-orthodeoxia syndrome. She was found to have a patent foramen ovale that was percutaneously closed with resolution of symptoms. Platypnea-orthodeoxia syndrome incited by laparoscopic abdominal surgery has been rarely reported in literature, but should be considered in the differential of postoperative dyspnea.https://www.acpjournals.org/doi/10.7326/aimcc.2022.1124 |
| spellingShingle | Emily Strickland Zachary Kerosky Joseph Krivda Takor Arrey-Mbi Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia Annals of Internal Medicine: Clinical Cases |
| title | Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia |
| title_full | Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia |
| title_fullStr | Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia |
| title_full_unstemmed | Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia |
| title_short | Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia |
| title_sort | platypnea orthodeoxia syndrome a rare cause of hypoxia |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.1124 |
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