A case of orthodeoxia platypnoea in a patient with adult polycystic kidney and liver disease with a patent foramen ovale
Graves, J.; Mason, M.; Laws, D.
Acute Medicine 6(3): 126-127
2007
ISSN/ISBN: 1747-4884 PMID: 21611588 Document Number: 10452
We describe a case of a patient with polycystic kidney and liver disease presenting with a 4 year history of shortness of breath. This was caused by a liver cyst pressing on the inferior vena cava, right atrium and ventricle, leading to a right to left shunt across a patent foramen ovale. This is consistent with the condition Orthodeoxia Platypnoea, which occurs when desaturation and dyspnoea occur in the upright position in association with an intra atrial shunt.
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