Article Menu

Export Article

More by Authors Links

Article Data

  • Views 3734
  • Dowloads 129

Case Report

Open Access

Platypnea-orthodeoxia-like syndrome in a septic newborn with late appearance of right congenital diaphragmatic hernia

  • GORAZD MLAKAR1
  • STEFAN GROSEK1
  • HELENA MOLE2
  • SILVESTER KOPRIVA1
  • ZIVA ZUPANCIC3
  • JANEZ PRIMOZIC1
  • JANEZ ERZEN4

1,University Medical Centre Ljubljana Department of Paediatric Surgery

2,University Medical Centre Ljubljana Department of Obstetrics and Gynaecology Division of Perinatology

3,University Medical Centre Ljubljana Department of Radiology

4,University Medical Centre Ljubljana Department of Thoracic Surgery

DOI: 10.22514/SV61.042011.10 Vol.6,Issue 1,May 2011 pp.50-52

Published: 02 May 2011

*Corresponding Author(s): STEFAN GROSEK E-mail: stefan.grosek@mf.uni-lj.si

PDF (60.44 kB) View Full-text

Abstract

Introduction. Cyanosis and dyspnoea with interatrial shunting of blood occurring without change in body position are termed platypnea-orthodeoxia-like syndrome.

Case presentation. We describe a female newborn with sepsis, who developed cyanosis. Two weeks after the initial appe-arance of cyanosis she presented with a right-sided diaphragmatic hernia, which was not seen on the initial X-rays. The hernia was surgically repaired. Her postoperative course was uneventful. 

Conclusions. In our case, interatrial shunting of blood was presumably caused by disturbed intrathoracic pressures. Positive pressure ventilation and sepsis may also contribute to the development of such a syndrome.

Keywords

cyanosis, right-to-left shunt, infant, sepsis, congenital dia-phragmatic hernia 

Cite and Share

GORAZD MLAKAR,STEFAN GROSEK,HELENA MOLE,SILVESTER KOPRIVA,ZIVA ZUPANCIC,JANEZ PRIMOZIC,JANEZ ERZEN. Platypnea-orthodeoxia-like syndrome in a septic newborn with late appearance of right congenital diaphragmatic hernia. Signa Vitae. 2011. 6(1);50-52.

URL:

https://www.signavitae.com/articles/10.22514/SV61.042011.10

References

1. Burchell HB, Helmholz HF Jr, Wood EH. Reflex orthostatic dyspnea associated with pulmonary hypertension. Am J Physiol 1949;159:563–4.

2. Suzuki H, Ohuchi H, Hiraumi Y, Yasuda K, Echigo S. Effects of postural change on oxygen saturation and respiration in patients after the Fontan operation: Platypnea and orthodeoxia. Int J Cardiol 2006;106(2):211-7.

3. Pavoni D, Ragazzo S, Driussi M, Antonini-Canterin F, Pavan D, Zardo F, et al. Transient platypnea-orthodeoxia-like syndrome induced by propafenone overdose in a young woman with Ebstein’s anomaly. Ital Heart J 2003;4(12):891-4.

4. Walther FJ, Benders MJ, Leighton JO. Persistent pulmonary hypertension in premature neonates with severe respiratory distress syndrome. Pediatrics 1992; 90:899-904.

5. Abman SH. Neonatal pulmonary hypertension: a physiologic approach to treatment. Pediatr Pulmonol Suppl 2004;26:127-8.

6. Sorrentino M, Resenkov L. Patent foramen ovale associated with platypnea and orthodeoxia Chest 1991;100(4):1157-8.

7. Bakris NC, Siddiqi AJ, Fraser CD, Mehta AC. Right-to-left interatrial shunt after pneumonectomy. Ann Thorac Surg 1997;63:198-201.

8. Godart F, Rey C, Prat A, Vincentelli A, Chma􀀁¨t A, Francart C, et al. Atrial right-to-left shunting causing severe hypoxemia despite normal right-sided pressures. Eur Heart J 2000;21:483–9.

9. Chong YM, So LY, Fok TF, Gerlis LM. Cyanotic atrial septal defect in a premature infant. Pediatr Cardiol 1991;12(1):63.

Abstracted / indexed in

Science Citation Index Expanded (SCIE) (On Hold)

Chemical Abstracts Service Source Index

Scopus: CiteScore 1.3 (2024)

Embase

Submission Turnaround Time

Top