Atrial Right-to-left Shunt without Pulmonary Hypertension in a Patient with Biventricular Non-compaction Cardiomyopathy Accompanied by Ventricular and Atrial Septal Defects

被引:5
|
作者
Sakan, Hirokazu [1 ]
Okayama, Satoshi [1 ]
Uemura, Shiro [1 ]
Somekawa, Satoshi [1 ]
Ishigami, Ken-ichi [1 ]
Takeda, Yukiji [1 ]
Kawata, Hiroyuki [1 ]
Horii, Manabu [1 ]
Fujimoto, Shinichi [2 ]
Saito, Yoshihiko [1 ]
机构
[1] Nara Med Univ, Dept Internal Med 1, Kashihara, Nara, Japan
[2] Nara Med Univ, Educ Dev Ctr, Kashihara, Nara, Japan
关键词
hypoxemia; hypoplasia; tricuspid valve; right ventricle; PLATYPNEA-ORTHODEOXIA SYNDROME; NONCOMPACTION; ECHOCARDIOGRAPHY; MYOCARDIUM;
D O I
10.2169/internalmedicine.50.5290
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Echocardiography and magnetic resonance imaging revealed biventricular non-compaction cardiomyopathy with ventricular (VSD) and atrial (ASD) septal defects in an unconscious, 23-year-old hypoxemic man. Doppler echocardiography showed a left-to-right shunt across the VSD and a right-to-left shunt across the ASD. Cardiac catheterization revealed elevated right atrial pressure, although pulmonary pressure was normal. We considered that the atrial right-to-left shunt had induced the hypoxemia, which was related mainly to right ventricular dysfunction in this biventricular non-compaction cardiomyopathy, but it was not related to pulmonary hypertension.
引用
收藏
页码:1747 / 1751
页数:5
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