Platypnea is usually due to either
hepatopulmonary syndrome or an anatomical cardiovascular defect increasing positional
right-to-left shunting (bloodflow from the right to the left part of the
circulatory system) such as a
patent foramen ovale. These defects include rare syndromes in which the
venous blood from the liver does not pass through the lungs sufficiently, or if venous blood from the
portal circulation reaches the
inferior vena cava without passing through the liver sufficiently (
Abernethy malformation, type 1). ==Etymology and pronunciation==