Partial anomalous pulmonary venous drainage associated with mitral stenosis with an intact atrial septum: A distinctive hemodynamic syndrome

A case of partial anomalous venous drainage associated with mitral stenosis and intact interatrial septum is presented. The hemodynamic findings consisted of pulmonary hypertension, markedly elevated pulmonary artery wedge pressure and large left-to-right shunt at the atrial level. These findings ar...

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Veröffentlicht in:The American journal of cardiology 1962-01, Vol.10 (6), p.894-899
Hauptverfasser: Wassermil, Mendel, Hoffman, Murray S.
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Hoffman, Murray S.
description A case of partial anomalous venous drainage associated with mitral stenosis and intact interatrial septum is presented. The hemodynamic findings consisted of pulmonary hypertension, markedly elevated pulmonary artery wedge pressure and large left-to-right shunt at the atrial level. These findings are distinctive of an intact septum, because in Lutembacher's syndrome there is a tendency for equalization of pressure in the atria and, therefore, the pulmonary artery wedge pressure may be normal or only slightly elevated. The findings of high and low pulmonary artery wedge pressure in different parts of lungs may be additional evidence for presence of partial anomalous venous connection.
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The hemodynamic findings consisted of pulmonary hypertension, markedly elevated pulmonary artery wedge pressure and large left-to-right shunt at the atrial level. These findings are distinctive of an intact septum, because in Lutembacher's syndrome there is a tendency for equalization of pressure in the atria and, therefore, the pulmonary artery wedge pressure may be normal or only slightly elevated. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Atrial Septum
Drainage
Heart Defects, Congenital
Heart Diseases
Hemodynamics
Humans
Hypertension
Hypertension, Pulmonary
Mitral Valve Stenosis
Old Medline
Pulmonary Veins
title Partial anomalous pulmonary venous drainage associated with mitral stenosis with an intact atrial septum: A distinctive hemodynamic syndrome
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