Progressive dyspnea and hypoxaemia in the subacute phase after transcatheter aortic valve implantation (TAVI) are uncommon and warrant immediate assessment of valve and prosthesis leaflet function to exclude thrombosis, as well as investigation for other causes related to the procedure, such as left ventricular dysfunction, pulmonary embolism, and respiratory sepsis. In this case, we report the...

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 When indicator (e.g., indocyanine green) is injected centrally (right ventricle or pulmonary artery) and blood is withdrawn rapidly from either the aorta or other central systemic artery, in the presence of a left-to-right shunt the recorded indicator-dilution curve usually...

cor triatriatum is an acyanotic congenital heart disease. we present a rare case of cor triatriatum sinistrum in a 6-month-old female infant who was presented with cyanosis and failure to thrive. the 2d transthoracic echocardiography and the doppler color flow imaging showed a proximal venous chamber communicating to the distal left atrium  through restrictive opening to the low-pressure, dista...

Background: Idiopathic intracranial hypertension is a condition associated with morbid obesity. Although bariatric surgery offers an effective treatment, some bariatric surgical candidates will present with indwelling ventriculoperitoneal (VP) shunts. The maintenance of shunt sterility is paramount. Objective: To review our experience with a regimen of VP shunt externalization, in patients unde...

We studied acid secretory responses to exogenous pentagastrin and to exogenous and endogenous gastrin in 12 stable cirrhotic subjects with portacaval shunt, 12 unshunted cirrhotics, and 12 normal subjects. Basal and stimulated serum gastrin concentrations as well as basal and maximum acid outputs were similar in the three groups. At low doses of either exogenous pentagastrin or gastrin-17 (G17)...

Persistent left superior vena cava is a rare but well-recognised condition. We describe a case of persistent left superior vena cava draining directly into the left atrium, with a fixed anatomical right-to-left shunt and paradoxical embolic events causing recurrent brain abscess. Surgical ligation was curative.

ume overload was created in open-chest dogs by pumping blood from the left atrium to the right atrium. In seven of eight dogs changes in interventricular septum motion were produced acutely at shunt flow as low as 500 cc/min. When the shunt was decreased or stopped, interventricular septum motion returned to normal. Shunts producing left ventricular volume overload (aorta to left atrium and rig...

Congenital extrahepatic portocaval shunt (CEPS) is a rare anomaly of the mesenteric vasculature in which the intestinal and splenic venous drainage bypasses the liver and drains directly into the inferior vena cava, the left hepatic vein or the left renal vein. This uncommon disease is frequently associated with other malformations and mainly affects females. Here we report a case of pulmonary ...

AIMS To assess transthoracic echocardiography (TTE) using second harmonic imaging with Valsalva manoeuvre compared to transesophageal echocardiography (TEE) for the diagnosis of right to left cardiac and pulmonary shunts. METHODS AND RESULTS One hundred and ten patients referred for TEE underwent TTE with bubble contrast. Bubbles in the left atrium within three cardiac cycles were considered ...

venous injections ofdextrose 5 per cent in water, for the detection and localisation of atrial and ventricular right-to-left shunts was evaluated in 70 adult patients. Based on their catheterisation data, 20 patients had a shunt at atrial level (group 1) and 14 patients a ventricular septal defect (group 2). Thirty-six patients without a shunt by oximetry served as controls. Echo contrast could...