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2017 ; 56
(2
): 169-173
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gab.com Text
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English Wikipedia
Platypnea-orthodeoxia Syndrome in a Patient with an Atrial Septal Defect: The
Diagnosis and Choice of Treatment
#MMPMID28090047
Kazawa S
; Enomoto T
; Suzuki N
; Koshikawa T
; Okubo Y
; Yoshii S
; Sato M
; Okabe M
; Yamashina A
; Aizawa Y
Intern Med
2017[]; 56
(2
): 169-173
PMID28090047
show ga
A 77-year-old woman developed dyspnea over three years which occurred during
sitting, standing or walking. Her physical examination, chest X-ray, ECG and
cardiac catheterization results were all normal. A marked fall in arterial oxygen
saturation was observed on sitting or standing. Transesophageal echocardiography
showed an increase of right to left shunt flow on sitting. The patient was
diagnosed with platypnea-orthodeoxia syndrome and underwent the surgical closure
of an atrial septal defect of 19 mm in diameter. After the surgery, the patient's
POS symptoms were completely resolved. She was discharged and followed at the
outpatient clinic. Her post-treatment course was uneventful.