Document Detail

The spectrum of left ventricular-right atrial communications in the adult: essentials of echocardiographic assessment.
MedLine Citation:
PMID:  7640019     Owner:  NLM     Status:  MEDLINE    
Left ventricular-right atrial communication may be a congenital defect or can result from trauma, endocarditis, or valve replacement. Traditionally the preoperative diagnosis of this entity was made during cardiac catheterization, but recent advances in echocardiography, particularly color Doppler imaging, have greatly facilitated the noninvasive diagnosis of left ventricular-right atrial communication. We present four cases of left ventricular-right atrial communication, each identified by two-dimensional and color Doppler imaging. One case is a congenital defect, two were identified years after cardiac surgery, and one presents as an unusual complication of myocardial infarction. Optimal views for identifying this defect are discussed along with clues to quantifying its hemodynamic significance.
T Dzwonczyk; W R Davidson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  8     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:    1995 May-Jun
Date Detail:
Created Date:  1995-09-21     Completed Date:  1995-09-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  263-9     Citation Subset:  IM    
Department of Medicine, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine 17033, USA.
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MeSH Terms
Aged, 80 and over
Blood Flow Velocity / physiology
Coronary Circulation / physiology
Echocardiography, Doppler*
Heart Atria / abnormalities
Heart Rupture, Post-Infarction / physiopathology,  ultrasonography
Heart Septal Defects / etiology,  physiopathology,  ultrasonography*
Heart Ventricles / abnormalities

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