Acquired left ventricular-right atrium shunts

Juha P. Sinisalo*, Narayanswami Sreeram, Eero Jokinen, Shakeel Qureshi

*Corresponding author for this work

    Research output: Contribution to journalLiterature reviewpeer-review

    45 Citations (Scopus)

    Abstract

    Left ventricular to right atrial (LV-RA) shunt is an unusual type of ventricular septal defect (VSD). This article concentrates on acquired LV-RA shunts, which may be due to complications of cardiac operation, endocarditis, trauma or myocardial infarction. A previous cardiac operation is its most common cause. The diagnosis of LV-RA communication is not easy, and it should be remembered in patients who do not recover normally. Diagnosis can be confirmed with ultrasound or magnetic resonance image (MRI). Surgical correction is usually the treatment of choice, but closing the communication percutaneously should be considered as an option.

    Original languageEnglish
    Pages (from-to)500-506
    Number of pages7
    JournalEuropean Journal of Cardio-Thoracic Surgery
    Volume39
    Issue number4
    DOIs
    Publication statusPublished - Apr 2011

    Keywords

    • Shunts (left ventricle to right atrium)
    • Re-operation
    • Aortic valve replacement
    • Mitral valve replacement
    • Cardiac catheterisation/intervention
    • MITRAL-VALVE-REPLACEMENT
    • ACUTE MYOCARDIAL-INFARCTION
    • SUCCESSFUL SURGICAL REPAIR
    • GERBODE-TYPE DEFECT
    • SEPTAL-DEFECT
    • INFECTIVE ENDOCARDITIS
    • BACTERIAL-ENDOCARDITIS
    • TRANSESOPHAGEAL ECHOCARDIOGRAPHY
    • TRICUSPID REGURGITATION
    • NATURAL-HISTORY

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