• A & A case reports · Feb 2014

    Platypnea-orthodeoxia: a rare complication after repair of a contained rupture of an abdominal aortic aneurysm.

    • Sebastian Hafner, Nico Scheerer, Wolfgang Stahl, Bernd Muehling, Michael Georgieff, Hendrik Bracht, and Martin Wepler.
    • From the Departments of *Anesthesiology, and †Cardiothoracic and Vascular Surgery, Division of Vascular Surgery, Ulm University, Ulm, Germany.
    • A A Case Rep. 2014 Feb 1;2(3):31-3.

    AbstractAfter open repair of a contained rupture of a giant abdominal aortic aneurysm, the patient, a 67-year-old man, developed respiratory insufficiency, and his hemoglobin oxygen saturation dramatically decreased when his position was changed from supine to upright. Transesophageal echocardiography revealed platypnea-orthodeoxia syndrome due to a patent foramen ovale and subsequent right-to-left-shunting despite normal intracardiac pressures. After interventional patent foramen ovale closure, the patient could be separated from the respirator without difficulty.

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