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Pulmonary stenosis and ventricular septal defect with arteriovenous shunts; a clinical and hemodynamic study of eleven patients

, : Pulmonary stenosis and ventricular septal defect with arteriovenous shunts; a clinical and hemodynamic study of eleven patients. Circulation 12(6): 994-1004

Four of these patients also have defects in the atrial septum, and 3 have demonstrable bidirectional shunts. The level and direction of shunts were determined by blood oxygen-saturation data and indicator-dilution studies. Choice of the form of treatment to be used in patients such as these should be based largely on hemodynamic considerations. Many resemble patients with tetralogy of Fallot who have had a successful pulmonary valvotomy.


PMID: 13270356

DOI: 10.1161/01.CIR.12.6.994

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