| Exceptional survival of a patient with large ventricular septal defect, bidirectional shunt, and severe pulmonary valve stenosis. | |
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MedLine Citation:
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PMID: 12050611 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 74-year-old man has survived in good health for an exceptionally long time despite the presence of a moderate-to-large-sized membranous ventricular septal defect (VSD). He has remained acyanotic with New York Heart Association class I function. Transthoracic and transesophageal echocardiography with color flow Doppler demonstrated a membranous VSD with left-to-right and right-to-left bidirectional shunts during ventricular systole and diastole, respectively, with an right ventricular systolic pressure of 93 mm Hg, dilation of the atria and the right ventricle, and right ventricular hypertrophy. The pulmonary valve was severely stenotic with transpulmonary valve peak velocity of 6.1 m/s and a peak pressure gradient of 147 mm Hg. The pulmonary artery and inferior vena cava were mildly dilated, and the left ventricular dimension and systolic function were normal. Transesophageal echocardiography with saline solution microbubble injection demonstrated positive contrast effect in the left ventricle in diastole confirming a right-to-left shunt at the ventricular level. This man is currently the oldest survivor with a moderate-to-large-sized membranous VSD reported in the literature. |
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Authors:
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Ming-He Huang; Hong Hu; Edward T Plata; Abutaher M Yahia; Allen L Goldfarb; Joseph L Izzo |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography Volume: 15 ISSN: 0894-7317 ISO Abbreviation: J Am Soc Echocardiogr Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-06-06 Completed Date: 2002-09-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8801388 Medline TA: J Am Soc Echocardiogr Country: United States |
Other Details:
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Languages: eng Pagination: 665-7 Citation Subset: IM |
Affiliation:
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Department of Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, USA. mhuang1458@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Echocardiography / methods Heart Murmurs / etiology, ultrasonography* Heart Septal Defects, Ventricular / complications, mortality, ultrasonography* Humans Male Pulmonary Valve Stenosis / complications, ultrasonography* Survivors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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