Vol 67, No 10 (2009)
Other
Published online: 2009-10-29
Echocardiogram of the month
Unusual left-to-right shunt
DOI: 10.33963/v.kp.80351
Kardiol Pol 2009;67(10):1137-1139.
Abstract
A case of a 58-year-old woman with restrictive cardiomyopathy and unusual interatrial left-to-right shunt is presented. Transthoracic echocardiography suggested the coronary artery fistula draining into right atrium. Transoesophageal echocardiography revealed patent foramen ovale with concomitant left-to-right shunt. Increased pressure within the both enlarged atria caused the inefficiency of the valve of PFO and interatrial leak leading to ‘acquired form’ of an atrial septal defect.
Keywords: patent foramen ovaleatrial septal defectleft-to-right shunt
