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Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection.

Publication ,  Journal Article
Fraker, TD; Harris, PJ; Behar, VS; Kisslo, JA
Published in: Circulation
February 1979

Two-dimensional echocardiography (2-D echo) was used with peripherally injected contrast material to detect interatrial shunts in 33 patients. Group 1 consisted of 11 patients having classic clinical findings of atrial septal defect. Group 2 consisted of 12 patients with problems requiring that atrial shunting be excluded. Group 3 (control group) consisted of 10 patients undergoing cardiac catheterization for chest pain. Confirmation of the 2-D echo findings was provided by cardiac catheterization in 32 patients and postmortem examination in one. Right-to-left atrial shunts were detected in all 11 patients in group 1, although seven had no right-to-left shunt calculable by oximetry. Four patients in Group 2 had right-to-left atrial shunts. None of the patients in Group 3 had atrial shunts. In the 15 patients with atrial shunts, the degree of right-to-left shunting could be qualitatively assessed as small, moderate, or large. There were no false-negative or false-positive results by contrast 2-D echo.

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Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

February 1979

Volume

59

Issue

2

Start / End Page

379 / 384

Location

United States

Related Subject Headings

  • Sodium Chloride
  • Oximetry
  • Middle Aged
  • Injections, Intravenous
  • Humans
  • Hemodynamics
  • Heart Septal Defects, Atrial
  • Evaluation Studies as Topic
  • Echocardiography
  • Ebstein Anomaly
 

Citation

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Fraker, T. D., Harris, P. J., Behar, V. S., & Kisslo, J. A. (1979). Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection. Circulation, 59(2), 379–384. https://doi.org/10.1161/01.cir.59.2.379
Fraker, T. D., P. J. Harris, V. S. Behar, and J. A. Kisslo. “Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection.Circulation 59, no. 2 (February 1979): 379–84. https://doi.org/10.1161/01.cir.59.2.379.
Fraker TD, Harris PJ, Behar VS, Kisslo JA. Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection. Circulation. 1979 Feb;59(2):379–84.
Fraker, T. D., et al. “Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection.Circulation, vol. 59, no. 2, Feb. 1979, pp. 379–84. Pubmed, doi:10.1161/01.cir.59.2.379.
Fraker TD, Harris PJ, Behar VS, Kisslo JA. Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection. Circulation. 1979 Feb;59(2):379–384.

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

February 1979

Volume

59

Issue

2

Start / End Page

379 / 384

Location

United States

Related Subject Headings

  • Sodium Chloride
  • Oximetry
  • Middle Aged
  • Injections, Intravenous
  • Humans
  • Hemodynamics
  • Heart Septal Defects, Atrial
  • Evaluation Studies as Topic
  • Echocardiography
  • Ebstein Anomaly