Right to left shunt, with severe hypoxemia, at the atrial level in a patient with hemodynamically important right ventricular infarction
AP Rietveld,
L Merrman,
CE Essed,
JB Trimbos,
and
F Hagemeijer
This report describes a patient with a massive right ventricular infarction, complicated by severe hypoxemia. Contrast echocardiography demonstrated a right to left shunt through a previously asymptomatic atrial septal defect. This phenomenon should be considered as a possible cause of hypoxemia in the presence of right ventricular infarction.
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