Changes in Intracardiac Shunt Elicited by Pneumonia
Radionuclide studies effectively demonstrate changes in cardiopulmonary hemodynamics and have been clinically used to demonstrate intracardiac shunts. The authors present a 6-month-old child with a history of a patent foramen ovale and pulmonary hypertension, presumably due to a left diaphragmatic h...
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| Veröffentlicht in: | Clinical nuclear medicine 1994-04, Vol.19 (4), p.359-360 |
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| container_issue | 4 |
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| container_title | Clinical nuclear medicine |
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| creator | CACERES, LUIS J KHEDKAR, NANDA Y MARTINEZ, CHARLES J DuBROW, IRA LAKIER, JEFFREY |
| description | Radionuclide studies effectively demonstrate changes in cardiopulmonary hemodynamics and have been clinically used to demonstrate intracardiac shunts. The authors present a 6-month-old child with a history of a patent foramen ovale and pulmonary hypertension, presumably due to a left diaphragmatic hernia, who demonstrated accentuated pulmonary hypertension from pneumonia resulting in a right to left shunt. A perfusion scan documented a right-to-left shunt that disappeared on a follow-up lung scan as the patient responded to medical management. In a potential surgery candidate, it is prudent to perform quantitative intracardiac studies after the conditions altering cardiopulmonary hemodynamics are stabilized or treated. |
| doi_str_mv | 10.1097/00003072-199404000-00021 |
| format | Article |
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The authors present a 6-month-old child with a history of a patent foramen ovale and pulmonary hypertension, presumably due to a left diaphragmatic hernia, who demonstrated accentuated pulmonary hypertension from pneumonia resulting in a right to left shunt. A perfusion scan documented a right-to-left shunt that disappeared on a follow-up lung scan as the patient responded to medical management. In a potential surgery candidate, it is prudent to perform quantitative intracardiac studies after the conditions altering cardiopulmonary hemodynamics are stabilized or treated.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-199404000-00021</identifier><identifier>PMID: 8004876</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Cardiology. 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The authors present a 6-month-old child with a history of a patent foramen ovale and pulmonary hypertension, presumably due to a left diaphragmatic hernia, who demonstrated accentuated pulmonary hypertension from pneumonia resulting in a right to left shunt. A perfusion scan documented a right-to-left shunt that disappeared on a follow-up lung scan as the patient responded to medical management. In a potential surgery candidate, it is prudent to perform quantitative intracardiac studies after the conditions altering cardiopulmonary hemodynamics are stabilized or treated.</description><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</subject><subject>Heart</subject><subject>Heart - diagnostic imaging</subject><subject>Heart Septal Defects, Atrial - diagnostic imaging</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnostic imaging</subject><subject>Infant</subject><subject>Lung - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Pneumonia - physiopathology</subject><subject>Radionuclide Imaging</subject><subject>Technetium Tc 99m Aggregated Albumin</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtLw0AQxxdRaq1-BCEH8RadfWePUnwUCgrqedlsNiaabupuQum3N7WxNweGYZj_PPgNQgmGGwxK3sJgFCRJsVIM2JClgxN8hKaYU5ECIeoYTYEKmiopyCk6i_ETAAss2ARNMgCWSTFFdF4Z_-FiUvtk4btgrAlFbWzyWvW-S-6b2tadK5J8m7x4169aX5tzdFKaJrqLMc7Q-8P92_wpXT4_LuZ3y9RSonAqSxCSObDc5ZlyXDJhC1JSNuxQCowxpeCU5RktS1pkkjghCMMccga0MJLO0PV-7jq0372LnV7V0bqmMd61fdRScA5EqEGY7YU2tDEGV-p1qFcmbDUGveOl_3jpAy_9y2tovRx39PnKFYfGEdBQvxrrJlrTlMF4W8eDjIEggu9OZXvZpm06F-JX029c0JUzTVfp_75FfwBk1H__</recordid><startdate>199404</startdate><enddate>199404</enddate><creator>CACERES, LUIS J</creator><creator>KHEDKAR, NANDA Y</creator><creator>MARTINEZ, CHARLES J</creator><creator>DuBROW, IRA</creator><creator>LAKIER, JEFFREY</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199404</creationdate><title>Changes in Intracardiac Shunt Elicited by Pneumonia</title><author>CACERES, LUIS J ; KHEDKAR, NANDA Y ; MARTINEZ, CHARLES J ; DuBROW, IRA ; LAKIER, JEFFREY</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3291-7f0674e0c5eb89e5746cd2f34aca990aaaf6534b83ff3d872e6624150b403da73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Heart</topic><topic>Heart - diagnostic imaging</topic><topic>Heart Septal Defects, Atrial - diagnostic imaging</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnostic imaging</topic><topic>Infant</topic><topic>Lung - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Pneumonia - physiopathology</topic><topic>Radionuclide Imaging</topic><topic>Technetium Tc 99m Aggregated Albumin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CACERES, LUIS J</creatorcontrib><creatorcontrib>KHEDKAR, NANDA Y</creatorcontrib><creatorcontrib>MARTINEZ, CHARLES J</creatorcontrib><creatorcontrib>DuBROW, IRA</creatorcontrib><creatorcontrib>LAKIER, JEFFREY</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CACERES, LUIS J</au><au>KHEDKAR, NANDA Y</au><au>MARTINEZ, CHARLES J</au><au>DuBROW, IRA</au><au>LAKIER, JEFFREY</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in Intracardiac Shunt Elicited by Pneumonia</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1994-04</date><risdate>1994</risdate><volume>19</volume><issue>4</issue><spage>359</spage><epage>360</epage><pages>359-360</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>Radionuclide studies effectively demonstrate changes in cardiopulmonary hemodynamics and have been clinically used to demonstrate intracardiac shunts. The authors present a 6-month-old child with a history of a patent foramen ovale and pulmonary hypertension, presumably due to a left diaphragmatic hernia, who demonstrated accentuated pulmonary hypertension from pneumonia resulting in a right to left shunt. A perfusion scan documented a right-to-left shunt that disappeared on a follow-up lung scan as the patient responded to medical management. In a potential surgery candidate, it is prudent to perform quantitative intracardiac studies after the conditions altering cardiopulmonary hemodynamics are stabilized or treated.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8004876</pmid><doi>10.1097/00003072-199404000-00021</doi><tpages>2</tpages></addata></record> |
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| ispartof | Clinical nuclear medicine, 1994-04, Vol.19 (4), p.359-360 |
| issn | 0363-9762 1536-0229 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Cardiology. Vascular system Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Heart Heart - diagnostic imaging Heart Septal Defects, Atrial - diagnostic imaging Humans Hypertension, Pulmonary - diagnostic imaging Infant Lung - diagnostic imaging Medical sciences Pneumonia - physiopathology Radionuclide Imaging Technetium Tc 99m Aggregated Albumin |
| title | Changes in Intracardiac Shunt Elicited by Pneumonia |
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