Right ventricular infarction complicated by right to left shunt

Right-to-Left Shunt

The patient is a 25-year-old woman transferred to Hermann Hospital 3 days after admission to an outlying facility. The patient initially woke up at 3 AM with acute onset of nausea, mild headache, hemoptysis (1⁄4/4 cup of fresh blood), and worsening shortness of breath. She then noticed weakness in the right half of her body associated with dysarthria. She had no associated chest pain or palpita...

Left ventricular to right atrial shunt resulting from infective endocarditis.

A unique case is described in which infective endocarditis of the aortic valve led to intractable heart failure and necropsy examination showed that the patient had developed a communication between the left ventricle and right atrium.

Type A aortic dissection complicated with fistulization into the right atrium and right-to-left shunt.

Fistulization between the aorta and the right atrium is a rare complication of ascending aortic dissection. Because of the typical haemodynamic unstability, the diagnosis is often made by bedside or intraoperative transoesophageal echocardiography. The treatment is surgical, but with very high mortality. We describe a case of type A aortic dissection complicated with shock and fistulization int...

Mitral Valve Disease Complicated by Left-to-right Shunt at Atrial Level.

THE association of mitral stenosis with atrial septal defect (Lutembacher's syndrome 1) is well known but, when strict criteria of definition are applied, it is rare. For example, six, one, and no cases, respectively, were found in series of 2,000,` 500,4 and 400) patients undergoing commissurotomy for mi-tral stenosis, and only two cases exist in the pathologic files of the Mayo Clinic." Green...

Postpneumonectomy interatrial right-to-left shunt.