Platypnea-Orthodeoxia Syndrome After Pneumonectomy Relieved by Mediastinal Repositioning

Platypnea-orthodeoxia is a rare syndrome characterized by hypoxemia in the upright position after pneumonectomy and relieved by recumbency. This syndrome is often a post-pneumonectomy complication due to intracardiac shunt, usually at the atrial level. We report a case after right pneumonectomy with...

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Veröffentlicht in:The Annals of thoracic surgery 2007-04, Vol.83 (4), p.1524-1526
Hauptverfasser: Kotoulas, Christophoros, PhD, FETCS, Patris, Konstantinos, MD, DEAA, Tsintiris, Konstantinos, MD, Zoumboulides, Antonios, MD, Lazarides, Kiriakos, PhD, Laoutides, Georgios, MD
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Sprache:eng
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Zusammenfassung:Platypnea-orthodeoxia is a rare syndrome characterized by hypoxemia in the upright position after pneumonectomy and relieved by recumbency. This syndrome is often a post-pneumonectomy complication due to intracardiac shunt, usually at the atrial level. We report a case after right pneumonectomy without interatrial shunt. The patient was successfully treated with a silicone prosthesis implant in the post-pneumonectomy space. We believe that correction of this clinical situation has not been previously described.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2006.11.004