1. Platypnée-orthodéoxie révélée par des syncopes à répétition
- Author
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P. Jessen, Hakim Benamer, F. Haziza, S. El-Amine, M.-C. Morice, R. Cheaito, F. Medkour, A. Tritar, F. Hage, and J.-F. Piechaud
- Subjects
medicine.medical_specialty ,Foramen ovale patent ,business.industry ,medicine.medical_treatment ,musculoskeletal system ,medicine.disease ,Surgery ,body regions ,stomatognathic system ,Internal medicine ,Contrast echocardiography ,medicine ,Patent foramen ovale ,Cardiology ,Differential diagnosis ,Cardiology and Cardiovascular Medicine ,business ,Cardiac catheterization - Abstract
Platypnea-orthodeoxia is a rare clinical condition which must be examined as a differential diagnosis for any bout of faintness occurring during standing or dyspnea that is exacerbated by standing. This syndrome is often associated with a patent foramen ovale. Its physiopathology is not univocal and the association of many anatomical criteria seems to be mandatory. Contrast echocardiography confirms diagnosis and closure of the patent foramen ovale during interventional catheterization and is currently the therapeutic method of choice. After closure of the foramen ovale, clinical improvement is spectacular and durable.
- Published
- 2014
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