Atrial septal defect with right to left shunt despite normal pulmonary artery pressure

J. D. Thomas*, B. S. Tabakin, F. P. Ittleman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

A 74 year old woman had right to left shunting through an atrial septal defect despite normal right heart pressures. Acute volume expansion temporarily reduced the shunt. Contrast echocardiography and angiography demonstrated that this shunting occurred almost exclusively from the inferior vena cava. At surgery a redundant flap of septum secundum was found that was adjacent to the inferior vena cava orifice, intercepting its blood return like a spinnaker and shunting it into the left atrium.

Original languageEnglish (US)
Pages (from-to)221-224
Number of pages4
JournalJournal of the American College of Cardiology
Volume9
Issue number1
DOIs
StatePublished - 1987

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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