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Mitral stenosis with left-to-right shunt at atrial level. A diagnostic challenge.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Tandon, Rajendra Manchanda, Subhash Chandra |
| Copyright Year | 1971 |
| Abstract | a long and loud delayed diastolic murmur with right and left atrial hypertrophy in the electrocardiogram, even in the absence of left atrial enlargement on the skiagram. One case of mitral stenosis with partial anomalous pulmonary venous drainage and intact atrial septum has been presented, the published reports reviewed, and the differences from Lutembacher's syndrome highlighted. The diagnosis of additional left-to-right shunt should be thought of in a patient with findings typical of mitral stenosis, if there is an ejection systolic murmur at the second left interspace with or without a thrill and if the chest x-ray shows increased vasculature, suggestive of left-to-right shunt, localized to one side or to an area of one lung. The diagnosis mainly depends on a high index of suspicion combined with cardiac catheterization. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://heart.bmj.com/content/heartjnl/33/5/773.full.pdf |
| PubMed reference number | 4255958v1 |
| Volume Number | 33 |
| Issue Number | 5 |
| Journal | British heart journal |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Atrial Fibrillation Blood supply aspects Diastole Electrocardiography Heart Atrium Hypertrophy Interatrial septum Lutembacher Syndrome Mitral Valve Prolapse Syndrome Mitral Valve Stenosis Patients Plain chest X-ray Plain x-ray Roentgen Rays Scientific Publication Structure of parenchyma of lung |
| Content Type | Text |
| Resource Type | Article |
