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Ann Thorac Surg 2007;83:1524-1526
© 2007 The Society of Thoracic Surgeons

Case Reports

Platypnea-Orthodeoxia Syndrome After Pneumonectomy Relieved by Mediastinal Repositioning

Christophoros Kotoulas, PhD, FETCSa,e,*, Konstantinos Patris, MD, DEAAa,e, Konstantinos Tsintiris, MDa,b, Antonios Zoumboulides, MDc, Kiriakos Lazarides, PhDd, Georgios Laoutides, MDe

a Cardiothoracic Surgery Department, Manchester Royal Infirmary, Manchester, United Kingdom
b Department of Pneumonology, General Military Hospital of Athens, Athens, Greece
c Department of Nuclear Medicine, General Military Hospital of Athens, Athens, Greece
d Department of Cardiology, General Military Hospital of Athens, Athens, Greece
e Cardiothoracic Surgery Department, General Military Hospital of Athens, Athens, Greece

Accepted for publication November 1, 2006.

* Address correspondence to Dr Kotoulas, 38 Kifissias Ave, Athens, 11526, Greece (Email: chrkotoulas{at}hol.gr).

Platypnea-orthodeoxia is a rare syndrome characterized by hypoxemia in the upright position after pneumonectomy and relieved by recumbency. This syndrome is often a post-pneumonectomy complication due to intracardiac shunt, usually at the atrial level. We report a case after right pneumonectomy without interatrial shunt. The patient was successfully treated with a silicone prosthesis implant in the post-pneumonectomy space. We believe that correction of this clinical situation has not been previously described.




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Orthodeoxia-Platypnea Syndrome Presenting as Paradoxical Peripheral Embolism
Ann. Thorac. Surg., May 1, 2008; 85(5): 1798 - 1800.
[Abstract] [Full Text] [PDF]


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