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A Left Ventricular-to-Right Atrial Shunt in a Patient With a Perimembranous Ventricular Septal Defect: Role of Intraoperative Transesophageal Echocardiography

Publication Type : Journal Article

Thematic Areas : Medical Sciences

Source : Journal of Cardiothoracic and Vascular Anesthesia, Volume 23, Issue 5, p.675-8 (2009), doi:10.1053/j.jvca.2008.12.005

Url : https://pubmed.ncbi.nlm.nih.gov/19217800/

Campus : Kochi

School : School of Medicine

Department : C. V. T. S, General Medicine

Year : 2009

Abstract : ADHESION OF TRICUSPID valve leaflets around margins of a perimembranous ventricular septal defect (VSD) gives rise to aneurysmal transformation of the membranous septum, which partially or completely occludes blood flow through the VSD. A case of a perimembranous VSD with a left ventricular–to–right atrial (LV-to-RA) shunt, which was misinterpreted as a tricuspid regurgitation (TR) jet on preoperative transthoracic echocardiography (TTE), is reported. Correct diagnosis was made by intraoperative transesophageal echocardiography (TEE).

Cite this Research Publication : Gadhinglajkar S, Sreedhar R, Gopalakrishnan SK, Sadiq A, Rao M, Gopal K. A left ventricular-to-right atrial shunt in a patient with a perimembranous ventricular septal defect: role of intraoperative transesophageal echocardiography. Journal of Cardiothoracic and Vascular Anesthesia, Volume 23, Issue 5, p.675-8 (2009). doi:10.1053/j.jvca.2008.12.005

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