TITLE:
Platypnea-Orthodeoxia Syndrome in an Elderly Patient Treated with Percutaneous Patent Foramen Ovale Closure: Report of a Case and Review of the Literature
AUTHORS:
Doumbouya Amadou Diouldé, Bah Abdoul Mazid Mariama, Diallo Mamadou Madiou, Baldé Aissatou Tiguidanké, Diallo Alpha Oumar Bouroure, Guissé Mamadou Cellou, Sow Mariama Oury, Diallo Mariama Djalakhan, Bah Fatoumata Biro, Condé Bakary, Koïvogui Kokoulo, Camara Alseny, Bah Mamadou Bassirou, Balde Elhadj Yaya, Baldé Mamadou Dadhi
KEYWORDS:
Syndrome, Platypnea-Orthodeoxia, Patent Foramen Ovale
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.13 No.8,
August
10,
2023
ABSTRACT: Introduction: Platypnea-Orthodeoxia syndrome is characterized by dyspnea and hypoxia
in the upright position, usually improving in the supine position. Two
components are required: an interatrial or intrapulmonary shunt, and a
functional component. Diagnosis is made by contrast ultrasonography. We report
a case of Platypnea-Orthodeoxia syndrome revealed by positional dyspnea in an
87-year-old patient. The aim of this study is to describe the clinical,
therapeutic and evolutionary profile of this syndrome. Case Presentation: This is an 87-year-old patient with a history of pulmonary embolism (PE) and
stroke. He was seen for dyspnea and desaturation in orthostatism, revealing a
patent foramen ovale (PFO). Progression was favorable after closure of the PFO. Conclusion: Platypnea-Orthodeoxia syndrome may be presented as simple
exertional dyspnea. The clinician should check for improvement in symptoms
and/or oxygenation during decubitus. Definitive treatment consists of
percutaneous closure of the shunt.