Abstract
IntroductionWe report a case of postural tachycardia syndrome occurring after the surgical correction of an aortic coarctation, and coexisting with upper airway resistance syndrome.Case presentationA 29-year-old Caucasian man complained of extreme fatigue, daytime sleepiness, shortness of breath on exertion, light-headedness and general weakness on standing. These symptoms began shortly after the surgical correction of an aortic coarctation and became progressively more debilitating, impairing any daily activity. An extensive work-up revealed postural tachycardia syndrome and a coexisting sleep-related breathing disorder, characterized as upper airway resistance syndrome.ConclusionThis is the first reported case describing the occurrence of postural tachycardia syndrome after the surgical correction of an aortic coarctation. This case also provides evidence for the suggestion that this syndrome may coexist with upper airway resistance syndrome, although the exact nature of their relationship must still be better established.
Highlights
We report a case of postural tachycardia syndrome occurring after the surgical correction of an aortic coarctation, and coexisting with upper airway resistance syndrome.Case presentation: A 29-year-old Caucasian man complained of extreme fatigue, daytime sleepiness, shortness of breath on exertion, light-headedness and general weakness on standing
This is the first reported case describing the occurrence of postural tachycardia syndrome after the surgical correction of an aortic coarctation
This case provides evidence for the suggestion that this syndrome may coexist with upper airway resistance syndrome, the exact nature of their relationship must still be better established
Summary
This report is the first, to the best of our knowledge, to document the occurrence of POTS after the surgical correction of an aortic coarctation. POTS and UARS can coexist in a patient. Consent Written informed consent was obtained from the patient for publication of this case report. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Author details 1Internal Medicine, Department of Internal Medicine, University Hospital of Geneva, Gabrielle-Perret-Gentil 4, Geneva 11 1211, Switzerland.
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