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Acute coronary syndrome and platypnoea-orthodeoxia with thoracic and interauricular septal aneurysms

par Boudart, Celine ;Tabolcea, Ionut ;Strachinaru, Mihai ;Castro, José Enrique;Noseda, André ;Gottignies, Philippe;Reper, Pascal
Référence European review for medical and pharmacological sciences, 20, 2, page (301-304)
Publication Publié, 2016

Article révisé par les pairs

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Résumé :

OBJECTIVE: Platypnea-orthodeoxia is a rare syndrome characterized by dyspnea induced by the upright position and relieved by supine position and an arterial deoxygenation increased by the upright position which improves during recumbency. Several anatomical factors that can alter the atrial anatomy and facilitate shunting through an interatrial defect have been related to this syndrome. In many cases, this syndrome has been associated with patent foramen ovale (PFO) and right-to-left shunt. Rarely platypnea-orthodeoxia syndrome has been described associated with an aortic and with an interauricular septal aneurysm too.