Haemodynamic auscultatory, phonocardiographic, and haemodynamic radiological correlations were studied in 5I patients with proven atrial septal defect. A good correlation exists between the degree of left-to-right shunt and auscultatory and phonocardiographic parameters, especially for a tricuspid rumble, tricuspid opening snap, and delay of the tricuspid component of the first heart sound. A p...

We report the case of a man 67-years-old with right-to-left shunt through a patent foramen ovale in absence of pulmonary hypertension. The contrast and transesophageal echocardiography showed significant right-to-left shunt and provided insight about the mechanisms that cause it. The aortic root was enlarged compressing the right atrium. Surgical repair was performed, the foramen ovale was clos...

Indicator dilution technique is more widely used during cardiac catheterization for the diagnosis and rough estimate of the size of intracardiac shunts and valvular regurgitation (Korner and Shillingford, 1955; Fox and Wood, 1957; Swan and Wood, 1957; Woodward et al., 1957; Shillingford, 1958; Carter et al., 1959; Carleton et al., 1960; Jose et al., 1960). Evans blue dye (T-1824) has long been ...

Quantitative cineangiocardiographic technics have been utilized to determine left ventricular (LV) and left atrial (LA) volumes and LV muscle mass in 58 patients with isolated ventricular septal defect, 14 of whom were infants less than 2 years old, and in 25 patients with isolated patent ductus arteriosus, 13 of whom were infants. Patients were divided according to the degree of left-to-right ...

We present a case of paradoxical gas embolism during CO2 insufflation in laparoscopic nephrectomy for a huge renal angiomyolipoma. Paradoxical CO2 embolism in the left heart chambers without demonstrable intracardiac right-to-left shunt was detected by transesophageal echocardiography (TEE). The surgical procedure was stopped immediately, but the patient recovered with mild neurologic deficit. ...

We report a case of recovered portal flow by ligation of the left renal vein on the first postoperative day after orthotopic liver transplantation of a 54-year-old female with alcoholic liver cirrhosis, chronic kidney failure, and spontaneous splenorenal shunt. After reperfusion, Doppler ultrasonography showed almost total diversion of the portal flow into the existing splenorenal shunt, but be...

We report a case of HeartMate II(®) left ventricular assist device (LVAD) implantation as a destination therapy in a patient with a patent ventriculoperitoneal (VP) shunt after being suffered from subarachnoid hemorrhage. Because the patient's VP shunt was running through her right anterior chest and abdominal wall, a driveline exit site was selected in her left upper quadrant to avoid unnecess...

Extensive clinical use has now been made of the nitrous oxide test for the detection and localization of left-to-right circulatory shunts. On theoretical grounds the magnitude of such a shunt should be related to the systemic and pulmonary arteriovenous differences in nitrous oxide content measured early in the period of inhalation. In order to determine the validity of the nitrous oxide method...

OBJECTIVE The right ventricle-to-pulmonary artery (RV-PA) shunt in the Norwood procedure (NP) for children with hypoplastic left-heart syndrome (HLHS) provides stable early hemodynamics and improves survival in many centers. However, lower pulmonary-to-systemic flow ratio causes early cyanosis and may require earlier second-stage procedure. The aim of the study was to present shunt-related resu...

in this study we tried to assess the incidence rate of shunt complications and it's association with age, sex, location of shunt, duration of surgery, and so on. for this purpose in a prospective study, 82 cases of hydrocephalus after shunt insertion, during the period of two years (1375-1377) in shariati hospital were selected and all the complications were evaluated. from the patients, 3...