Platypnea-Orthodeoxia Syndrome After Complicated Cholecystectomy: An Unsuspected Diagnosis

Authors

  • Catarina Queirós Serviço de Medicina Interna. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia. Portugal.
  • Elsa Francisco Serviço de Cirurgia Geral. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia. Portugal.
  • João Almeida Serviço de Cardiologia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia. Portugal.

DOI:

https://doi.org/10.20344/amp.8700

Keywords:

Cholecystectomy, Dyspnea, Foramen Ovale, Patent, Hypoxia, Syndrome

Abstract

A 65-year-old woman with no significant prior medical history presented, in the postoperative course of a complicated cholecystectomy, several episodes of arterial desaturation. Pulmonary embolism was repeatedly suspected, but there was no evidence of pulmonary thrombus on the chest computed tomography angiographies obtained. As these episodes were mainly induced by postural changes, a platypnea-orthodeoxia syndrome was suspected. A transthoracic echocardiogram was performed and revealed a patent foramen ovale. A transesophageal echocardiography confirmed the presence of a significant right-to-left shunt exacerbated by the Valsalva manouver. The defect was repaired using a percutaneous transcatheter technique with complete resolution of the condition.

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Published

2017-11-29

How to Cite

1.
Queirós C, Francisco E, Almeida J. Platypnea-Orthodeoxia Syndrome After Complicated Cholecystectomy: An Unsuspected Diagnosis. Acta Med Port [Internet]. 2017 Nov. 29 [cited 2024 Nov. 22];30(11):827-30. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/8700

Issue

Section

Case Report