Atrial Right-to-left Shunt without Pulmonary Hypertension in a Patient with Biventricular Non-compaction Cardiomyopathy Accompanied by Ventricular and Atrial Septal Defects
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- Sakan Hirokazu
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Okayama Satoshi
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Uemura Shiro
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Somekawa Satoshi
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Ishigami Ken-ichi
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Takeda Yukiji
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Kawata Hiroyuki
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Horii Manabu
- The First Department of Internal Medicine, Nara Medical University, Japan
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- Fujimoto Shinichi
- Education Development Center, Nara Medical University, Japan
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- Saito Yoshihiko
- The First Department of Internal Medicine, Nara Medical University, Japan
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抄録
Echocardiography and magnetic resonance imaging revealed biventricular non-compaction cardiomyopathy with ventricular (VSD) and atrial (ASD) septal defects in an unconscious, 23-year-old hypoxemic man. Doppler echocardiography showed a left-to-right shunt across the VSD and a right-to-left shunt across the ASD. Cardiac catheterization revealed elevated right atrial pressure, although pulmonary pressure was normal. We considered that the atrial right-to-left shunt had induced the hypoxemia, which was related mainly to right ventricular dysfunction in this biventricular non-compaction cardiomyopathy, but it was not related to pulmonary hypertension.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 50 (16), 1747-1751, 2011
一般社団法人 日本内科学会