The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
A CASE OF INFRAVALVULAR LEFT VENTRICLAR-RIGHT ATRIAL COMMUNICATION
Saihou HAYASHIShogo MUKAIYasushi NAKAJIMAHiroo SHIKATATaijiro SUEDAYoshiharu HAMANAKAHiroshi ISHIHARAYuichiro MATSUURA
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1991 Volume 52 Issue 5 Pages 1049-1055

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Abstract
We experienced a case of infravalvular left ventriclar-right atrial communication, in which a communication opening was seen at a little to right ventricle of tricuspid valve ring. Harsh systolic murmur similar to that peculiar to ventricular septal defect (VSD) was heard. Chest roentgenography revealed an enlarged right atrium, and cardiac echography showed a blood flow of left ventriclar-right atrial shunt. Intracardiac catheterization exhibited an increase in oxigen partial pressure at the right atrium. Angio cardiography confirmed the presence of shunt from left ventricle to right atrium.
This cardiac disease is rare, and a total of 63 cases reported in Japan was analysed to clarify the characteristic features.
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© Japan Surgical Association
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