Abstract
The authors describe a case of platypnoea orthodeoxia syndrome in an 83-year-old man with a fenestrated atrial septal defect and severe coronary artery disease. The patient had been admitted to hospital six times in the previous year with acute breathlessness, attributed to paroxysmal atrial fibrillation. The patient's symptoms resolved completely following surgical repair of the defect and coronary artery bypass grafting.
MeSH terms
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Aged, 80 and over
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Cardiac Surgical Procedures / methods*
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Coronary Angiography
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Coronary Artery Bypass / methods
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Coronary Artery Disease / complications
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Coronary Artery Disease / diagnosis
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Coronary Artery Disease / surgery*
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Diagnosis, Differential
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Dyspnea, Paroxysmal / diagnosis
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Dyspnea, Paroxysmal / etiology*
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Echocardiography, Doppler, Color
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Echocardiography, Transesophageal
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Follow-Up Studies
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Heart Septal Defects, Atrial / complications
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Heart Septal Defects, Atrial / diagnosis
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Heart Septal Defects, Atrial / surgery*
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Humans
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Male