Determination of shunt flow in a case of multiple arteriosystemic connections
作者:
Hollister P. Brewster,
Nora Goldschlager,
Arnold Goldschlager,
期刊:
Catheterization and Cardiovascular Diagnosis
(WILEY Available online 1977)
卷期:
Volume 3,
issue 1
页码: 79-86
ISSN:0098-6569
年代: 1977
DOI:10.1002/ccd.1810030110
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: Left‐to‐left shunt;myocardial vasculature
数据来源: WILEY
摘要:
AbstractA 64‐year‐old woman presented with acute congestive heart failure and atrial fibrillation, with good response to medical management. Selective coronary and left ventricular cineangiography demonstrated multiple arteriosystemic connections arising from both left and right coronary arteries, but normal (although tortuous) coronary vessels and ventricular contraction pattern. Determination of the magnitude of the shunt flow and concommitant measurement of myocardial lactate extraction suggested that this type of coronary vascular abnormality was an angiographic curiosity without discernible clinical import; however, the etiology of the patient's heart disease remains an eni
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