Unknown

Dataset Information

0

Platypnea Orthodeoxia Syndrome Secondary to Intracardiac Shunt Following Orthotopic Liver Transplantation.


ABSTRACT: Platypnea orthodeoxia syndrome (POS) occurs when an upright position results in acute-onset hypoxemia and is relieved with recumbency. POS can be due to intracardiac shunting, intrapulmonary shunting, ventilation-perfusion mismatch, or a combination of these. We report a case of POS that developed 3 days post liver transplantation as a result of new-onset right to left shunting across a patent foramen ovale. Right heart catheterization revealed a posteriorly directed inferior vena cava likely due to altered inferior vena cava-right atrial junction anatomy as a result of liver transplantation. The patient underwent successful transcatheter patent foramen ovale closure with a 25-mm Gore Cardioform septal occluder device with immediate and sustained improvement in hypoxia.

SUBMITTER: Larson SR 

PROVIDER: S-EPMC7262979 | biostudies-literature |

REPOSITORIES: biostudies-literature

Similar Datasets

| S-EPMC7819445 | biostudies-literature
| S-EPMC4894711 | biostudies-literature
| S-EPMC6312573 | biostudies-other
| S-EPMC7175809 | biostudies-literature
| S-EPMC1727429 | biostudies-other
| S-EPMC7042127 | biostudies-literature
| S-EPMC7054779 | biostudies-literature
| S-EPMC1950460 | biostudies-literature