A case of platypnoea orthodeoxia following Laproscopic Cholecystectomy.
Platypnoea Orthodeoxia syndrome is defined by dyspnoea and hypoxaemia exacerbated by orthostatic positioning and alleviated in recumbency. This condition has been reported in association with pulmonary, hepatic and cardiac disease. We describe a case herein of a 79 year old female who developed severe hypoxaemia and dyspnoea post laparoscopic cholecystectomy. A difference in arterial blood gas oxygen tension was demonstrated in the supine and erect positions on arterial blood gas analysis. A Patent Foramen Ovale (PFO) with a right to left shunt was evident on echocardiogram employing colour doppler and agitated normal saline studies. Definitive management, with closure of the patent foramen ovale lead to a complete resolution of symptoms and normalisation of arterial blood gas parameters in both the supine and erect positions.
['Riddles|Timothy|T|', 'Brown|James|J|', 'Judge|Daniel|D|']
D000368:Aged D001784:Blood Gas Analysis D006328:Cardiac Catheterization D017081:Cholecystectomy, Laparoscopic D004417:Dyspnea D018618:Echocardiography, Doppler, Color D005260:Female D054092:Foramen Ovale, Patent D006801:Humans D000860:Hypoxia D011183:Postoperative Complications D035583:Rare Diseases D055989:Septal Occluder Device D013577:Syndrome D016896:Treatment Outcome
adult intensive care gastrointestinal surgery interventional cardiology respiratory medicine