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European Journal of Echocardiography 2007 8(1):50-52; doi:10.1016/j.euje.2005.09.003
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Copyright © 2005, The European Society of Cardiology

Platypnoea–orthodeoxia syndrome in association with an ascending aortic aneurysm

M. Townsend*, D.H. MacIver and R. Bilku

Department of Cardiology, Taunton and Somerset NHS Trust, Musgrove Park, UK

Received 28 March 2005; received in revised form 17 September 2005; accepted after revision 29 September 2005.

* Corresponding author. Tel. +44 1179 230 000. mandietownsend{at}yahoo.co.uk


  Abstract

Platypnoea–orthodeoxia syndrome is a uncommon condition presenting with dyspnoea and cyanosis that are characteristically worse in the upright posture and improved by lying supine.

We present the case of a patient with a thoracic aortic aneurysm and a patent foramen ovale who presented with platypnoea–orthodeoxia syndrome. Diagnosis was established using transoesophageal echocardiography. We suggest a mechanism for the development of dyspnoea and hypoxia in patients with this disorder.

Keywords: Platypnoea–orthodeoxia; Echocardiography; Cyanosis


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