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Intracardiac Shunts

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Cardiovascular Hemodynamics

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

In the normal circulation, deoxygenated blood comes into the right heart and passes through the pulmonary circulation to become oxygenated. Then oxygenated blood goes through the left heart to the systemic circulation. An abnormal communication between two heart chambers resulting in an intracardiac (IC) shunt may take place from systemic to pulmonary circulation (left to right) or from pulmonary to systemic circulation (right to left) or may be bidirectional.

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References

  1. Brenner LD, Caputo GR, Mostbeck G, et al. Quantification of left to right atrial shunts with velocity-encoded cine nuclear magnetic resonance imaging. J Am Coll Cardiol. 1992;20:1246–50.

    Article  PubMed  CAS  Google Scholar 

  2. Korperich H, Gieseke J, Barth P, et al. Flow volume and shunt quantification in pediatric congenital heart disease by real-time magnetic resonance velocity mapping: a validation study. Circulation. 2004;109:1987–93.

    Article  PubMed  Google Scholar 

  3. Beerbaum P, Korperich H, Barth P, Esdorn H, Gieseke J, Meyer H. Noninvasive quantification of left-to-right shunt in pediatric patients: phase-contrast cine magnetic resonance imaging compared with invasive oximetry. Circulation. 2001;103:2476–82.

    Article  PubMed  CAS  Google Scholar 

  4. Debl K, Djavidani B, Buchner S, et al. Quantification of left-to-right shunting in adult congenital heart disease: phase-contrast cine MRI compared with invasive oximetry. Br J Radiol. 2009;82:386–91.

    Article  PubMed  CAS  Google Scholar 

  5. Hundley WG, Li HF, Lange RA, et al. Assessment of left-to-right intracardiac shunting by velocity-encoded, phase-difference magnetic resonance imaging. A comparison with oximetric and indicator dilution techniques. Circulation. 1995;91:2955–60.

    Article  PubMed  CAS  Google Scholar 

  6. Beerbaum P, Korperich H, Gieseke J, Barth P, Peuster M, Meyer H. Rapid left-to-right shunt quantification in children by phase-contrast magnetic resonance imaging combined with sensitivity encoding (SENSE). Circulation. 2003;108:1355–61.

    Article  PubMed  Google Scholar 

  7. Ratnayaka K, Raman VK, Faranesh AZ, et al. Antegrade percutaneous closure of membranous ventricular septal defect using X-ray fused with magnetic resonance imaging. JACC Cardiovasc Interv. 2009;2:224–30.

    Article  PubMed  Google Scholar 

  8. Lapierre C, Raboisson MJ, Miro J, Dahdah N, Guerin R. Evaluation of a large atrial septal occluder with cardiac MR imaging. Radiographics 2003;23 Spec No:S51-8.

    Google Scholar 

  9. Weber M, Dill T, Deetjen A, et al. Left ventricular adaptation after atrial septal defect closure assessed by increased concentrations of N-terminal pro-brain natriuretic peptide and cardiac magnetic resonance imaging in adult patients. Heart. 2006;92:671–5.

    Article  PubMed  CAS  Google Scholar 

  10. Schoen SP, Kittner T, Bohl S, et al. Transcatheter closure of atrial septal defects improves right ventricular volume, mass, function, pulmonary pressure, and functional class: a magnetic resonance imaging study. Heart. 2006;92:821–6.

    Article  PubMed  CAS  Google Scholar 

  11. Wynne J, Fishbein MC, Holman BL, Alpert JS. Radionuclide scintigraphy in the evaluation of ventricular septal defect complicating acute myocardial infarction. Cathet Cardiovasc Diagn. 1978;4:189–97.

    Article  PubMed  CAS  Google Scholar 

  12. Matta BF, Lam AM. The rate of blood withdrawal affects the accuracy of jugular venous bulb. Oxygen saturation measurements. Anesthesiology. 1997;86:806–8.

    Article  PubMed  CAS  Google Scholar 

  13. Hillis LD, Firth BG, Winniford MD. Variability of right-sided cardiac oxygen saturations in adults with and without left-to-right intracardiac shunting. Am J Cardiol. 1986;58:129–32.

    Article  PubMed  CAS  Google Scholar 

  14. Pirwitz MJ, Willard JE, Landau C, Hillis LD, Lange RA. A critical reappraisal of the oximetric assessment of intracardiac left-to-right shunting in adults. Am Heart J. 1997;133:413–7.

    Article  PubMed  CAS  Google Scholar 

  15. Flamm MD, Cohn KE, Hancock EW. Measurement of systemic cardiac output at rest and exercise in patients with atrial septal defect. Am J Cardiol. 1969;23:258–65.

    Article  PubMed  CAS  Google Scholar 

  16. French WJ, Chang P, Forsythe S, Criley JM. Estimation of mixed venous oxygen saturation. Catheter Cardiovascular Diagnosis. 1983;9:25–31.

    Article  CAS  Google Scholar 

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Correspondence to E. Murat Tuzcu M.D .

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Ozkan, A., Aksoy, O., Tuzcu, E.M. (2013). Intracardiac Shunts. In: Anwaruddin, S., Martin, J., Stephens, J., Askari, A. (eds) Cardiovascular Hemodynamics. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-195-0_14

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  • DOI: https://doi.org/10.1007/978-1-60761-195-0_14

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60761-194-3

  • Online ISBN: 978-1-60761-195-0

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