[Platypnea-orthodeoxia revealed by recurrent syncope episodes].

Authors :: Cheaito R
Benamer H
Tritar A
Hage F
Haziza F
Piechaud JF
El-Amine S
Medkour F
Morice MC
Jessen P
Source :: Annales de cardiologie et d'angeiologie [Ann Cardiol Angeiol (Paris)] 2014 Dec; Vol. 63 (6), pp. 451-4. Date of Electronic Publication: 2014 Oct 11.
Publication Year :: 2014
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.<br /> (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)