Document Detail

Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection.
MedLine Citation:
PMID:  759006     Owner:  NLM     Status:  MEDLINE    
Two-dimensional echocardiography (2-D echo) was used with peripherally injected contrast material to detect interatrial shunts in 33 patients. Group 1 consisted of 11 patients having classic clinical findings of atrial septal defect. Group 2 consisted of 12 patients with problems requiring that atrial shunting be excluded. Group 3 (control group) consisted of 10 patients undergoing cardiac catheterization for chest pain. Confirmation of the 2-D echo findings was provided by cardiac catheterization in 32 patients and postmortem examination in one. Right-to-left atrial shunts were detected in all 11 patients in group 1, although seven had no right-to-left shunt calculable by oximetry. Four patients in Group 2 had right-to-left atrial shunts. None of the patients in Group 3 had atrial shunts. In the 15 patients with atrial shunts, the degree of right-to-left shunting could be qualitatively assessed as small, moderate, or large. There were no false-negative or false-positive results by contrast 2-D echo.
T D Fraker; P J Harris; V S Behar; J A Kisslo
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Circulation     Volume:  59     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1979 Feb 
Date Detail:
Created Date:  1979-03-13     Completed Date:  1979-03-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  379-84     Citation Subset:  AIM; IM    
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MeSH Terms
Ebstein Anomaly / diagnosis*
Echocardiography / methods*
Evaluation Studies as Topic
Heart Catheterization
Heart Septal Defects, Atrial / diagnosis*
Injections, Intravenous
Middle Aged
Sodium Chloride / administration & dosage,  diagnostic use*
Reg. No./Substance:
7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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