BACKGROUND Percutaneous transcatheter closure of patent foramen ovale has been proposed to prevent recurrent strokes in young adults. Contrast transcranial Doppler ultrasonography provides a functional, semiquantitative evaluation of right-to-left cardiac shunt. AIMS To evaluate the efficacy of percutaneous closure of patent foramen ovale in suppressing right-to-left shunt (assessed using tra...

A 63-year-old female with pulmonary hypertension presented to the emergency department (ED) with hemoptysis. Vital signs were significant for tachypnea, with respirations of 30 per minute, and hypoxia, with an oxygen saturation of 88%. Physical examination revealed a systolic cardiac murmur. Bedside emergency ultrasound (EUS) demonstrated a right ventricle that appeared to be enlarged in relati...

Long-term outcome after orthotopic heart transplant is often critical in patients with long-persisting right-sided heart failure and consecutive ascites. Transjugular intrahepatic portosystemic stent shunt is an effective treatment for chronic ascites. However, a case of transjugular intrahepatic portosystemic stent shunt implantation after orthotopic heart transplant and left ventricular assis...

A 22-year-old male presented with recurrent stroke, central cyanosis, and dyspnea. Transesophageal echocardiography and cardiac catheterization revealed bidirectional shunt flow through atrial septal defect (ASD) without pulmonary arterial hypertension. The orifice of inferior vena cava facing towards ASD opening led partially right to left shunt resulting in cyanosis with normal pulmonary arte...

T he left ventricle-right atrium (LVRA) shunt, a rare and special type of ventricular septal defect (VSD), was first reported by Gerbode et al1 in 1958, and was thus termed “Gerbode defect”, after the first author. In 1967, Riemenschneider and Moss2 classified Gerbode defects into two types: direct (or true) and indirect (or false). The direct type is a direct shunt between the left ventricle a...

The Gerbode shunt, known as the left ventricle to the right atrial communication, is a rather rare finding, following surgical closure of septal defects. Even though the surgical closure is accepted as a treatment of choice, we report a successful percutaneous transcatheter closure of the Gerbode shunt in a 3-months old baby who weighed 3 kilograms.

Abstract A rare case of a pulmonary arterio-venous malformation not requiring treatment is reported. An incidental peripheral right lower lobe intrapulmonary was identified on computed tomography. On catheter angiography, no artery supply identified. Systemic arteriography systemic arterial from conjoined inferior phrenic with venous drainage to the left atrium. Due this lung abnormality being ...

perlipidaemic with a positive family history for coronary artery disease (father) and diabetes mellitus (mother) was investigated for chest pain. The clinical examination gave no clear pathological findings. The ECG was normal. Blood biochemistry confirmed the reported hyperlipidaemia. The transthoracic echocardiogram showed a small dilatation of the right cardiac cavities. There was no atrial ...

Single ventricle physiology offers limited options with significant morbidity and mortality. The Glenn shunt is a mid-stage procedure for the Fontan circulation. With persistent left Superior Vena Cava (SVC) and Azygos continuation of the Inferior Vena Cava (IVC) to the SVC, needs the development of bilateral bidirectional Glenn shunts. Fifteen patients underwent Bidirectional Glen shunt proced...