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Anatomical Factors Triggering Platypnea-Orthodeoxia in Adults
Clinical Cardiology, 10/21/09
Sanikommu V et al. – The authors report a case series of patients presenting with dyspnea and orthodeoxia who developed right to left shunting as a result of associated anatomical changes that occur with aging such as tortuosity and elongation of the aorta. They propose that these acquired anatomical changes can favor right to left shunting in the setting of congenital abnormalities, therefore explaining the late onset of symptoms.
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