| Title | Orthodeoxia-platypnea syndrome presenting as paradoxical peripheral embolism. | | Author(s) | Delalieux S, De Greef K, Hendriks J, Lauwers P, Suys B, Van Schil P | | Institution | Department of Thoracic and Vascular Surgery, University Hospital of Antwerp, Edegem, Antwerp, Belgium. | | Source | Ann Thorac Surg 2008 May; 85(5):1798-800. | | MeSH | Anoxia
Arm
Axillary Vein
Carcinoma, Squamous Cell
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Embolism, Paradoxical
Foramen Ovale, Patent
Heart Catheterization
Humans
Ischemia
Lung Neoplasms
Male
Middle Aged
Necrosis
Pneumonectomy
Postoperative Complications
Posture
Reoperation
Toes
Venous Thrombosis
| | Abstract | A paradoxical embolus associated with orthodeoxia-platypnea syndrome and intracardiac shunting is extremely uncommon. We present a patient who was found to have a positional change in desaturation after a right pneumonectomy who suffered from gangrene of the right foot and simultaneous deep venous thrombosis of the left arm. Workup revealed a patent foramen ovale as a cause for both the right-to-left shunt and the paradoxical emboli. After percutaneous closure the orthodeoxia resolved. This case highlights the necessity of heightened awareness of this syndrome in case of severe hypoxemia after pneumonectomy and the importance of an occult patent foramen ovale. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 18442594 |
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