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- W2168054588 abstract "Abstract Ten cases of left ventricular-right atrial communication are reported, making a total of 122 cases documented in the literature. A new anatomic classification is proposed, based on the location of the defect in the cardiac septum. The clinical course of left ventricular-right atrial communication is similar to that of ventricular septal defect in many respects but may be differentiated from it by the earlier onset of congestive failure and the development of arrhythmias of atrial origin. Physical examination reveals a harsh holosystolic murmur and thrill at the left sternal border. The murmur usually radiates well to the right of the sternum and is frequently associated with close expiratory splitting of the second sound in the pulmonic area. The murmur is often heard during the newborn period. Typical electrocardiographic findings consist of peaked P waves, a prolonged P-R interval, rSR pattern in the right precordial leads and biventricular hypertrophy. Chest roentgenograms characteristically disclose cardiomegaly and increased pulmonary vascularity. The most striking finding is disproportionate right atrial enlargement. This, together with a prominent pulmonary artery and ventricular enlargement, produces a “ball-like” configuration. Cardiac catheterization reveals a moderate left to right shunt at the level of the right atrium, despite the presence of an intact atrial septum. The diagnosis is confirmed by left ventricular angiocardiography, which demonstrates immediate opacification of a dilated right atrium." @default.
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- W2168054588 date "1967-05-01" @default.
- W2168054588 modified "2023-10-14" @default.
- W2168054588 title "Left ventricular—Right atrial communication" @default.
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- W2168054588 doi "https://doi.org/10.1016/0002-9149(67)90476-6" @default.
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