Acquired left ventricular-right atrium shunts.

Autor: Sinisalo JP; Department of Medicine, Division of Cardiology, Helsinki University Central Hospital, Helsinki, Finland. juha.sinisalo@hus.fi, Sreeram N, Jokinen E, Qureshi SA
Jazyk: angličtina
Zdroj: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2011 Apr; Vol. 39 (4), pp. 500-6. Date of Electronic Publication: 2010 Jun 02.
DOI: 10.1016/j.ejcts.2010.04.027
Abstrakt: Left ventricular to right atrial (LV-RA) shunt is an unusual type of ventricular septal defect (VSD). This article concentrates on acquired LV-RA shunts, which may be due to complications of cardiac operation, endocarditis, trauma or myocardial infarction. A previous cardiac operation is its most common cause. The diagnosis of LV-RA communication is not easy, and it should be remembered in patients who do not recover normally. Diagnosis can be confirmed with ultrasound or magnetic resonance image (MRI). Surgical correction is usually the treatment of choice, but closing the communication percutaneously should be considered as an option.
(Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE