Quantitating Left-to-Right Shunts

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Left-to-Right Shunts

Contrary to the opinion of French pediatrician HenriLouis that isolated ventricular septal defects (VSDs) are universally well tolerated, the subsequent discoveries of Eisenmenger, Abbott, Wood, and others have taught us that the prognosis of left-to-right shunt lesions is not always benign. After more than a century of research, as pediatric cardiologists and congenital heart surgeons, we clai...

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A Simplified Method for Quantitating Left-to-Right Shunts from Arterial Dilution

This report presents a new, simple and reliable method of quantitating left-to-right shunts from arterial dilution curves. When indicator (e.g., indocyanine green) is injected centrally (right ventricle or pulmonary artery) and blood is withdrawn rapidly from either the aorta or other central systemic artery, in the presence of a left-to-right shunt the recorded indicator-dilution curve usually...

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A simplified method for quantitating left-to-right shunts from arterial dilution curves.

This report presents a new, simple and reliable method of quantitating left-to-right shunts from arterial dilution surves. When indicatior (e,g., indocyanine green) is injected centrally (right venticle or pulmonary artery) and blood is withdrawn rapidly from either the aorta or other central systemic artery, in the presence of a left-to-right shunt to recorded indicator-dilution curve usually ...

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The Identification of Right-to-Left Shunts

SEVERAL METHODS are now used in conjunction with cardiac catheterization for localizing and quantitating right-to-left shunts. These include the recording of indicator-dye concentration curves after selective intracardiac dye injection,14 the external recording of radioactivity following injection of radioactive materials,5 6 and the use of cardioangiograms or cineangiograms to picture the cour...

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Acquired left ventricular-right atrium shunts.

Left ventricular to right atrial (LV-RA) shunt is an unusual type of ventricular septal defect (VSD). This article concentrates on acquired LV-RA shunts, which may be due to complications of cardiac operation, endocarditis, trauma or myocardial infarction. A previous cardiac operation is its most common cause. The diagnosis of LV-RA communication is not easy, and it should be remembered in pati...

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ژورنال

عنوان ژورنال: Circulation

سال: 1974

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.50.2.412-b