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J Am Coll Cardiol, 1984; 3:865-867
© 1984 by the American College of Cardiology Foundation
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Right to left intracardiac shunt: a unique presentation of metastatic cardiac disease

PE Gallerstein, RL Belluscio, M Berger, F Onseng, and RA Jurado

A 54 year old man presented with signs and symptoms of severe hypoxemia. He had a history of a nasopharyngeal epidermoid carcinoma that was thought to have been totally eradicated 2 years earlier. He was found to have a right to left interatrial shunt through a patent foramen ovale due to tricuspid valve obstruction by a solitary cardiac metastasis. No other such reported case of a metastatic cardiac lesion could be found.


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S. Ghamande, R. Ramsey, J. F. Rhodes, and J. K. Stoller
Right Hemidiaphragmatic Elevation With a Right-to-Left Interatrial Shunt Through a Patent Foramen Ovale : A Case Report and Literature Review
Chest, December 1, 2001; 120(6): 2094 - 2096.
[Abstract] [Full Text] [PDF]

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 Br J AnaesthHome page
I. L. Marples, M. J. Heap, S. K. Suvarna, and G. H. Mills
Acute right-to-left inter-atrial shunt; an important cause of profound hypoxia
Br. J. Anaesth., December 1, 2000; 85(6): 921 - 925.
[Abstract] [Full Text] [PDF]


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Copyright © 1984 by the American College of Cardiology Foundation.