A&A Case Reports

Skip Navigation LinksHome > February 1, 2014 - Volume 2 - Issue 3 > Platypnea-Orthodeoxia: A Rare Complication After Repair of...
A&A Case Reports:
doi: 10.1097/ACC.0b013e3182a5c4d3
Case Reports: Case Report

Platypnea-Orthodeoxia: A Rare Complication After Repair of a Contained Rupture of an Abdominal Aortic Aneurysm

Hafner, Sebastian MD*; Scheerer, Nico MD*; Stahl, Wolfgang MD*; Muehling, Bernd MD, PhD; Georgieff, Michael MD, PhD*; Bracht, Hendrik MD, PhD*; Wepler, Martin MD*

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After 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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