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Sharif H, Pezzella AT, Farah HH, Baljepally R, Maki D. Intracardiac Right-to-Left Shunt Complicating Right Ventricular Failure. Asian Cardiovasc Thorac Ann 2016. [DOI: 10.1177/021849239900700408] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Three cases of intracardiac right-to-left shunt at the atrial level complicating right ventricular failure (RV) are described. Severe hypoxemia resulted in 2 patients and stroke in the third. This was a consequence of right ventricular infarction causing right-sided heart failure resulting in high right-sided pressures. Echocardiography demonstrated the shunts. A review of the literature on this uncommon problem suggested management strategies based on the limited experience with this condition.
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Affiliation(s)
| | | | - Husam H Farah
- Division of Cardiology St. Vincent Hospital Worcester, Massachusetts, USA
| | - Raj Baljepally
- Division of Cardiology St. Vincent Hospital Worcester, Massachusetts, USA
| | - Dennis Maki
- Division of Cardiology St. Vincent Hospital Worcester, Massachusetts, USA
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