Official scientific distribution organ of Instituto Panvascular de Occidente
Acute Respiratory Failure Post-Respiratory Infection: Case Series of Orthodeoxy by Patent Foramen Ovale in a Third-Level Hospital
PDF Reporte de Caso (Spanish)

Keywords

Platipnea-Orthodeoxy Syndrome
Patent Foramen Ovale
SARS-CoV-2
Acute Respiratory failure

Categories

How to Cite

1.
Acute Respiratory Failure Post-Respiratory Infection: Case Series of Orthodeoxy by Patent Foramen Ovale in a Third-Level Hospital. Rev Med Clin [Internet]. 2022 Jul. 18 [cited 2024 Nov. 25];6(2):e18072206014. Available from: https://medicinaclinica.org/index.php/rmc/article/view/431

Abstract

Atrial Septal Defects (ASDs) are one of the most common congenital heart anomalies. The patent foramen ovale (PFO) is present in 25% of the adult population and allows the passage of blood from the venous to the arterial circulation, causing a shunt. Most of the subjects will remain asymptomatic until adulthood, where after an intercurrent process, they begin to manifest the symptoms of platypnea-orthodeoxia syndrome (SPO). In relation to the COVID-19 pandemic, findings of PFO have been described after overcoming bilateral SARS-CoV-2 pneumonia, highlighting the importance of early diagnosis to avoid serious complications in this type of patient. We present two cases where the finding of PFO was incidental after having overcome respiratory infections.

PDF Reporte de Caso (Spanish)

References

Burchell HB, Helmolz HF Jr, Wood EH. Reflex orthostatic dyspnea associated with pulmonary hypotension. Am J Physiol. 1949; 159:563-4.

Agrawal A, Palkar A, Talwar A. The multiple dimensions of Platypnea-Orthodeoxia syndrome: A review. Respir Med. 2017;129:31–8. doi: 10.1016 / j.rmed.2017.05.016

Longo C, Ruffini L, Zanoni N, Longo F, Accogli R, Graziani T, et al. Platypnea-orthodeoxia after fibrotic evolution of SARS-CoV-2 interstitial pneumonia. A case report. Acta Biomed. 2020;91(3):1–7. doi: 10.23750 / abm.v91i3.10386.

Yepes I, Ji S, Wu F, Tijmes S, Roberts J. PlatypneaOrthodeoxia Syndrome: Rare or Under-Diagnosed Syndrome? 3 Case Reports and a Literature Review. Cardiovasc Revascularization Med. 2021;22(xxxx):115–9. doi: 10.1016 / j.carrev.2020.06.002.

Sabater Abad C, Juan Samper G, Payá Serrano R, Pérez Boscá JL, Ramón Capilla M, Fernandez Fabrellas E. Síndrome platipnea-ortodeoxia cardiaco: una causa «misteriosa» de hipoxemia. Archivos de Bronconeumología. 2016;52(9):494-5. doi: 10.1016 / j.arbres.2016.02.003.

Cheng TO. Mechnisms of platypnea-orthodeoxia: What causes water to flowuphill? Circulation. 2002;105:e47.

Tarrasó Castillo J, Posadas Blázquez TJ, Lahosa Córdoba C, Signes-Costa J. COVID-19: New disease, new manifestations. Arch Bronconeumol. 2020 Dec;56(12):825-26. doi: 10.1016 / j.arbres.2020.07.007.

Vanhomwegen C, Taton O, Selvais N, Vanhove O, Leduc D. Patent foramen ovale revealed by COVID-19 pneumonia. BMC Pulm Med. 2021;21(1):1–4. doi: 10.1186 / s12890-021- 01494-7.

Calvert PA, Rana BS, Kydd AC, Shapiro LM. Patent foramen ovale: Anatomy, outcomes, and closure. Nat Rev Cardiol. 2011;8(3):148–60. doi: 10.1038 / nrcardio.2010.224.

Santhirapala V, Chamali B, McKernan H, Tighe HC, Williams LC, Springett JT, et al. Orthodeoxia and postural orthostatic tachycardia in patients with pulmonary arteriovenous malformations: A prospective 8-year series. Thorax. 2014;69(11):1046–7. doi: 10.1136 / thoraxjnl-2014-205289.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2022 Revista de Medicina Clínica

Downloads

Download data is not yet available.