Intrapulmonary arteriovenous shunt: Diagnosis by saline contrast bubbles in the pulmonary veins

被引：26

作者：

Gudavalli, A ^{[1
]}

Kalaria, VG ^{[1
]}

Chen, XC ^{[1
]}

Schwarz, KQ ^{[1
]}

机构：

[1] Univ Rochester, Dept Med, Cardiol Unit, Rochester, NY 14627 USA

来源：

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY | 2002年 / 15卷 / 09期

关键词：

D O I：

10.1067/mje.2002.121435

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 54-year-old man with end-stage cirrhosis of the liver presented for evaluation of dyspnea. Intrapulmonary arteriovenous shunting was suspected. Transthoracic echocardiography with agitated saline contrast injection from the right antecubital vein was performed. Late arrival of saline contrast bubbles in the left atrium by pulmonary veins leading to complete left heart opacification confirmed the diagnosis of significant intrapulmonary shunting. This case and images illustrate the use of agitated saline contrast in combination with transthoracic echocardiography for the diagnosis of intrapulmonary arteriovenous fistula.

引用

页码：1012 / 1014

页数：3

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