Intrapulmonary shunting in primary pulmonary hypertension - An observation in two patients treated with epoprostenol sodium

被引：21

作者：

Castro, PF

Bourge, RC

McGiffin, DC

Benza, RL

Fan, P

Pinkard, NB

McGoon, MD

机构：

[1] Univ Alabama, Dept Med, Div Cardiovasc Dis, Birmingham, AL 35294 USA

[2] Univ Alabama, Dept Surg, Div Cardiothorac Surg, Birmingham, AL 35294 USA

[3] Univ Alabama, Dept Pathol, Div Anat Pathol, Birmingham, AL 35294 USA

[4] Catholic Univ Chile, Santiago, Chile

[5] Mayo Clin, Div Cardiovasc Dis, Rochester, MN USA

来源：

CHEST | 1998年 / 114卷 / 01期

关键词：

contrast echocardiography; epoprostenol; hypoxemia; intrapulmonary shunting; primary pulmonary hypertension;

D O I：

10.1378/chest.114.1.334

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Continuous intravenous infusion of epoprostenol sodium in selected patients with primary pulmonary hypertension improves symptoms and survival. This report describes two patients with primary pulmonary hypertension treated with epoprostenol in whom intrapulmonary shunting and severe hypoxemia occurred. Intrapulmonary shunting was confirmed by contrast echocardiography showing delayed appearance of bubbles in the left cardiac chambers after peripheral venous injection of agitated saline solution.

引用

页码：334 / 336

页数：3

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