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Titolo:
BIDIRECTIONAL SHUNT THROUGH A RESIDUAL ATRIAL SEPTAL-DEFECT AFTER PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY
Autore:
LAI LP; SHYU KG; HSU KL; CHIANG FT; TSENG CD; TSENG YZ;
Indirizzi:
NATL TAIWAN UNIV HOSP,DEPT INTERNAL MED,DIV CARDIOL,7 CHUNG SHAN S RDTAIPEI 100 TAIWAN NATL TAIWAN UNIV HOSP,DEPT INTERNAL MED,DIV CARDIOL TAIPEI 100 TAIWAN
Titolo Testata:
Cardiology
fascicolo: 3, volume: 83, anno: 1993,
pagine: 205 -
SICI:
0008-6312(1993)83:3<205:BSTARA>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON VALVULOPLASTY; FOLLOW-UP;
Keywords:
BIDIRECTIONAL SHUNT; PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY; RESIDUAL ATRIAL SEPTAL DEFECT;
Tipo documento:
Note
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
6
Recensione:
Indirizzi per estratti:
Citazione:
L.P. Lai et al., "BIDIRECTIONAL SHUNT THROUGH A RESIDUAL ATRIAL SEPTAL-DEFECT AFTER PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY", Cardiology, 83(3), 1993, pp. 205

Abstract

A residual atrial septal defect with bidirectional shunt was detectedby transesophageal echocardiography in a 28-year-old man 3 years after percutaneous transluminal mitral commissurotomy (PTMC) with the antegrade transseptal technique. He had had severe mitral stenosis, pulmonary hypertension, and tricuspid regurgitation before the procedure. The result of PTMC was suboptimal, the pulmonary hypertension regressed only partially, and the tricuspid regurgitation remained severe. Thesefactors contributed to the bidirectional shunt. A bidirectional shuntis known to be associated with systemic desaturation and a higher risk of paradoxical embolization and brain abscess. When PTMC is considered in patients with pulmonary hypertension and tricuspid regurgitation, a retrograde left ventricular approach with or without transseptal puncture can avoid the atrial septotomy, decrease the incidence of significant shunt, and should be a rational alternative.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 02:49:26