Shunt right or left? Decision 2016

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...

Postpneumonectomy interatrial right-to-left shunt.

Right - to - Left or Left - to - Right Exponentiation ?

The most recent left-to-right and right-to-left multibase exponentiation methods are compared for elliptic curve and modular residue groups to gauge the value and cost of switching from the normal left-toright mode to the more side channel resistant right-to-left direction in a resource constrained environment.

Right-to-left shunt with hypoxemia in pulmonary hypertension

BACKGROUND Hypoxemia is common in pulmonary hypertension (PH) and may be partly related to ventilation/perfusion mismatch, low diffusion capacity, low cardiac output, and/or right-to-left (RL) shunting. METHODS To determine whether true RL shunting causing hypoxemia is caused by intracardiac shunting, as classically considered, a retrospective single center study was conducted in consecutive ...

Left-to-right cardiac shunt: perioperative anesthetic considerations.

Congenital heart disease (CHD) affects roughly 8/1000 live births. Improvements in medical and surgical management in recent decades have resulted in significantly more children with left-to-right cardiac shunts surviving into adulthood. Surgical care of these patients for their original cardiac defect(s) or other non-cardiac medical conditions requires thorough understanding of cardiopulmonary...