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Acute hypoxia due to right to left blood shunting in a patient with atrial septal defect
M Solar, J Fridrich, J Ceral, M Borovec
Language English Country Ireland
Document type Case Reports
- MeSH
- Acute Disease MeSH
- Heart Septal Defects, Atrial complications ultrasonography MeSH
- Drainage MeSH
- Echocardiography MeSH
- Fatal Outcome MeSH
- Hypoxia etiology MeSH
- Cardiac Pacing, Artificial adverse effects MeSH
- Contrast Media MeSH
- Humans MeSH
- Pericardial Effusion etiology therapy ultrasonography MeSH
- Aged MeSH
- Cardiac Tamponade complications ultrasonography MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Acute right to left blood shunt is an unusual cause of acute hypoxia. We describe a case of a patient with an atrial septal defect who developed acute hypoxia due to cardiac tamponade. Acute haemopericardium developed as a complication of temporary transvenous cardiac pacing. Bubble contrast echocardiography confirmed right to left blood shunting at the atrial level. Acute hypoxaemia and the right to left blood shunt resolved when the pericardium was drained. The case underscores the importance of evaluating the presence of an intracardial shunt in patients with otherwise inexplicable hypoxia.
References provided by Crossref.org
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- $a Acute right to left blood shunt is an unusual cause of acute hypoxia. We describe a case of a patient with an atrial septal defect who developed acute hypoxia due to cardiac tamponade. Acute haemopericardium developed as a complication of temporary transvenous cardiac pacing. Bubble contrast echocardiography confirmed right to left blood shunting at the atrial level. Acute hypoxaemia and the right to left blood shunt resolved when the pericardium was drained. The case underscores the importance of evaluating the presence of an intracardial shunt in patients with otherwise inexplicable hypoxia.
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