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http://dx.doi.org/10.4250/jcu.2014.22.4.220

ATRIAL SEPTAL DEFECT WITH NORMAL PULMONARY ARTERIAL PRESSURE IN ADULT CYANOTIC PATIENT  

Kim, In-Cheol (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center)
Kim, Hyungseop (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center)
Lee, Jeung-Eun (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center)
Yoon, Hyuck-Jun (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center)
Kim, Jae-Beom (Department of Thoracic Surgery, Keimyung University Dongsan Medical Center)
Kim, Jae-Hyun (Department of Thoracic Surgery, Keimyung University Dongsan Medical Center)
Publication Information
Journal of Cardiovascular Imaging / v.22, no.4, 2014 , pp. 220-223 More about this Journal
Abstract
A 22-year-old male presented with recurrent stroke, central cyanosis, and dyspnea. Transesophageal echocardiography and cardiac catheterization revealed bidirectional shunt flow through atrial septal defect (ASD) without pulmonary arterial hypertension. The orifice of inferior vena cava facing towards ASD opening led partially right to left shunt resulting in cyanosis with normal pulmonary arterial pressure.
Keywords
Atrial septal defect; Cyanosis; Inferior vena cava;
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1 Sommer RJ, Hijazi ZM, Rhodes JF Jr. Pathophysiology of congenital heart disease in the adult: part I: Shunt lesions. Circulation 2008;117:1090-9.   DOI
2 Godart F, Rey C, Prat A, Vincentelli A, Chmait A, Francart C, Porte H. Atrial right-to-left shunting causing severe hypoxaemia despite normal right-sided pressures. Report of 11 consecutive cases corrected by percutaneous closure. Eur Heart J 2000;21:483-9.   DOI
3 Frost AE, Quinones MA, Zoghbi WA, Noon GP. Reversal of pulmonary hypertension and subsequent repair of atrial septal defect after treatment with continuous intravenous epoprostenol. J Heart Lung Transplant 2005;24:501-3.   DOI   ScienceOn
4 Steele PM, Fuster V, Cohen M, Ritter DG, McGoon DC. Isolated atrial septal defect with pulmonary vascular obstructive disease--long-term follow-up and prediction of outcome after surgical correction. Circulation 1987;76:1037-42.   DOI   ScienceOn
5 Thomas JD, Tabakin BS, Ittleman FP. Atrial septal defect with right to left shunt despite normal pulmonary artery pressure. J Am Coll Cardiol 1987;9:221-4.   DOI
6 Nazzal SB, Bansal RC, Fitzmorris SJ, Schmidt CA. Platypnea-orthodeoxia as a cause of unexplained hypoxemia in an 82-yr-old female. Cathet Cardiovasc Diagn 1990;19:242-5.   DOI
7 Bakris NC, Siddiqi AJ, Fraser CD Jr, Mehta AC. Right-to-left interatrial shunt after pneumonectomy. Ann Thorac Surg 1997;63:198-201.   DOI
8 Smeenk FW, Postmus PE. Interatrial right-to-left shunting developing after pulmonary resection in the absence of elevated right-sided heart pressures. Review of the literature. Chest 1993;103:528-31.   DOI
9 Kizer JR, Devereux RB. Clinical practice. Patent foramen ovale in young adults with unexplained stroke. N Engl J Med 2005;353:2361-72.   DOI
10 Frizzell JP. Acute stroke: pathophysiology, diagnosis, and treatment. AACN Clin Issues 2005;16:421-40; quiz 597-8.   DOI   ScienceOn