Factors Affecting the Success of Attaining Left Heart Echo Contrast After Pulmonary Wedge Injections

  • Patrick W. Serruys
  • Richard S. Meltzer
  • Jackie McGhie
  • Jos Roelandt
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 15)


Peripheral venous contrast echocardiography has become an important diagnostic method and finds increasing application for the detection of intracardiac right-to-left shunts [1–21] and tricuspid insufficiency [22, 23]. It has been established that microbubbles of air injected into the blood stream are responsible for the echo-cardiographic contrast effect [24, 25]. The pulmonary capillary bed acts as a filter for these microbubbles [26]. Thus, after a peripheral venous or right heart injection, the appearance of ultrasonic contrast in the left heart cavities proves the existence of an intracardiac of extracardiac right-to-left shunt.


Left Heart Right Atrium Contrast Echocardiography Intracardiac Shunt Lung Scan 
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Copyright information

© Martinus Nijhoff Publishers 1982

Authors and Affiliations

  • Patrick W. Serruys
  • Richard S. Meltzer
  • Jackie McGhie
  • Jos Roelandt

There are no affiliations available

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